inforMED
InjuryECM

VICTORY SERIES NARROW CONTOURED MICROETCHED BAND

Received Nov 17, 2005 · Event occurred Jul 6, 2005

Report 2020467-2005-00007 · MDR key 647468

Device

Generic name

Orthodontic Metal Band

Manufacturer

3m Unitek

Model number

NA

Catalog number

902-177

Lot number

UNK

Product problems

  • Break
  • Device, removal of (non-implant)

Patient

17 YR

  • Unspecified Infection
  • Treatment with medication(s)

Narrative

Description of Event or Problem

ORTHODONTIC BAND BROKE WHEN PT BIT INTO A PIECE OF BREAD IN 2005. THREE DAYS LATER AN ORTHODONTIST REMOVED THE UPPER BANDS FROM THE PT'S MOUTH AND CONFIRMED INFECTION IN PT'S MOUTH NEAR THE AREA OF THE BROKEN BAND. THE FOLLOWING DAY PT VISITED A HOSP CLINIC AND WAS GIVEN PRESCRIPTIONS FOR AMOXICILLIN (ANTIBIOTIC) AND TRAMADOL (NON-NARCOTIC PAIN RELIEVER). PT HAS RECOVERED FROM THE INFECTION AND IS CONTINUING WITH HIS ORTHODONTIC TREATMENT.