InjuryECO
FORSUS FATIGUE RESISTANT DEVICE SPRING MODULE
Received May 12, 2006 · Event occurred Jan 17, 2006
Report 2020467-2006-00004 · MDR key 714408
Device
Product problems
- Unknown (for use when the device problem is not known)
Patient
13 YR
- Unspecified Infection
- Irritation
- Therapeutic Response, Increased
- Ulcer
- Treatment with medication(s)
Narrative
Description of Event or Problem
DUE TO IRRITATION FROM DEVICE, PT DEVELOPED AN INTRAORAL ULCER BECAME INFECTED. PER ORTHODONTIST, AN EMERGENCY ROOM PHYSICIAN PRESCRIBED AN ANTIBIOTIC (AMOXICILLIN) FOR THE INFECTION AND ORTHODONTIST PRESCRIBED MARY'S MAGIC MOUTHWASH. ORTHODONTIST STATED THAT THE INTRAORAL ULCER AND INFECTION HAD COMPLETELY RESOLVED WITHIN A COUBLE WEEKS AND THAT PT HAS CONTINUED WITH THE ORTHODONTIC TREATMENT.