inforMED
InjuryDZD

BASE RX SGL 022/LR7 -30T -1A 4D

Received Jan 10, 2019

Report 2418500-2018-00002 · MDR key 8233394

Device

Generic name

Tube, Orthodontic

Model number

NA

Catalog number

268-372-80

Lot number

00124602

Product problems

  • Product Quality Problem
  • Inadequacy of Device Shape and/or Size
  • Structural Problem
  • Inadequacy of Device Shape and/or Size

Patient

Not reported

  • Therapeutic Effects, Unexpected
  • Complaint, Ill-Defined
  • Therapeutic Effects, Unexpected
  • Complaint, Ill-Defined

Narrative

Additional Manufacturer Narrative

THEREFORE, BECAUSE INTERVENTION WAS REQUIRED, THIS EVENT IS REPORTABLE PER 21CFR PART 803. THE DEVICE IS AVAILABLE FOR EVALUATION, THOUGH HAS NOT BEEN RETURNED AS OF THIS REPORT. EVALUATION RESULTS WILL BE SUBMITTED AS THEY BECOME AVAILABLE.

Description of Event or Problem

A DOCTOR CLAIMS THAT THE NEW BASE RX SKUS HAVE A LOWER PROFILE AND AS A RESULT THEY ARE SEEING AN UNWANTED ERUPTION OF THE MOLARS AND THIS IS PROLONGING TREATMENT TIMES FOR THE PATIENTS.

Additional Manufacturer Narrative

MULTIPLE UNSUCCESSFUL ATTEMPTS WERE MADE TO OBTAIN THE DEVICE FOR EVALUATION. A DHR REVIEW WAS CONDUCTED WITH NO DISCREPANCIES NOTED.