inforMED
InjuryJEP

UNIVER TOFFLEMIRE TYPE RE

Received Oct 18, 2016

Report 2523190-2016-00168 · MDR key 6036495

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Product code (JEP)
Model (72-34)

Device

Generic name

M51 - General Dentistry

Catalog number

72-34

Product problems

  • Material Protrusion/Extrusion
  • Material Protrusion/Extrusion

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

INTEGRA HAS COMPLETED THEIR INTERNAL INVESTIGATION ON OCTOBER 12, 2016. THE INVESTIGATION INCLUDED: METHODS: EVALUATION OF ACTUAL DEVICE. REVIEW OF DEVICE HISTORY RECORDS. REVIEW OF COMPLAINTS HISTORY. RESULTS: EVALUATION OF RETURNED DEVICE; THERE WERE TEN TOFFLEMIRE RETAINERS RETURNED WITH NO UNUSUAL MARKINGS AND COMPLAINT STATING THAT THE DOCTOR CUT HIMSELF. UPON FURTHER INVESTIGATION IT IS FOUND THAT MOST DO HAVE SHARP EDGES ON THEM. DHR REVIEW; THERE IS NO APPLICABLE NONCONFORMING PRODUCT REPORT / NONCONFORMING MATERIAL REPORT HISTORY COMPLAINTS HISTORY; COMPLAINT METRICS TRACKED, TRENDED, AND REVIEWED MONTHLY WITH MANAGEMENT. CONCLUSION: THE COMPLAINT REPORT IS CONFIRMED; THE ROOT CAUSE HAS BEEN DETERMINED TO BE A WORKMANSHIP OR MATERIAL DEFICIENCY. APPROPRIATE ACTION HAS BEEN IMPLEMENTED TO RECTIFY THIS MANUFACTURING DEFICIENCY.

Description of Event or Problem

CUSTOMER INITIALLY REPORTS DEVICE DEFECTIVE CUTS DOCTORS HAND. ON 9/30/2016 DOCTOR REPORTS SHE WAS APPLYING A BAND TO A LOWER R BACK MOLAR WHEN SHE WAS CUT ON SHARP THREADS OF THE DEVICE. NO SPECIAL TREATMENT NECESSARY, NO INFECTION. NO HARM TO PATIENT