inforMED
MalfunctionEHO

DAUTREY ARCH BAR, 15CM

Received Oct 4, 2013 · Event occurred Sep 10, 2013

Report 0008010177-2013-00251 · MDR key 3388261

Device

Generic name

Instrument

Catalog number

01-02960

Lot number

6000008879

Product problems

  • Device Operates Differently Than Expected

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE CUSTOMER COMPLAINED THAT THE ARCH BAR HAS EDGES. IT PULLS OR TEARS GUMS. THE RAIL IS VERY EDGY AND IT IS FEARED THAT IT CAN HURT THE PATIENT. THE CUSTOMER HAD TO TOP THE ITEMS OFF, REGRIND THEM AND BEND THEM BEFORE USE WHICH CAUSED A DELAY OF 30 MINUTES.

Additional Manufacturer Narrative

INVESTIGATION IN PROGRESS BUT NOT YET COMPLETE.

Additional Manufacturer Narrative

THE REPORTED EVENT COULD BE CONFIRMED. VISUAL INSPECTION REVEALED THAT THE EDGES OF THE CURRENT ARCH BARS ARE VERY SHARP. HOWEVER, WITHIN FUNCTIONAL INSPECTION THE REPORTED EVENT COULD NOT BE REPRODUCED. ALSO A COMPARISON WITH THE CURRENT DRAWING HAS SHOWN THAT THE PRODUCTS MEET THE SPECIFICATION. TO ADDRESS THE CUSTOMER CONCERNS A CHANGE REQUEST WAS INITIATED ON 2014-MAR-10 TO REDESIGN THE ARCH BAR IN A WAY IT GETS SMOOTHER. AS A PART OF THE REDESIGN THE EDGES WILL BE NEW DEFINED (ROUNDED OFF) AND THE PEGS MORE CURVED. THE CHANGE REQUEST IS STILL ONGOING.

Description of Event or Problem

THE CUSTOMER COMPLAINED THAT THE ARCH BAR HAS EDGES. IT PULLS OR TEARS GUMS. THE RAIL IS VERY EDGY AND IT IS FEARED THAT IT CAN HURT THE PATIENT. THE CUSTOMER HAD TO TOP THE ITEMS OFF, REGRIND THEM AND BEND THEM BEFORE USE WHICH CAUSED A DELAY OF 30 MINUTES.