inforMED
MalfunctionBRW

MOUTHGUARD

Received Jul 27, 2018 · Event occurred Jul 6, 2018

Report 7725929 · MDR key 7725929

Device

Generic name

Protector, Dental

Manufacturer

Bioseal

Catalog number

1191025

Lot number

400447

Product problems

  • Material Puncture/Hole

Patient

14965 DA

  • No Code Available
  • No Code Available

Narrative

Description of Event or Problem

PATIENT UNDERWENT MICRODIRECT LARYNGOSCOPY WITH LEFT MICROFLAP EXCISION OF LEFT VOCAL CORD LESION. WHEN THE MOUTHGUARD WAS REMOVED AT THE END OF THE PROCEDURE, IT WAS FOUND TO HAVE A HOLE IN IT WHERE THE FRONT TEETH HAD MET. THE MD IS CONCERNED THAT THERE IS THE POTENTIAL FOR PIECES TO GET IN THE AIRWAY.