FDA Adverse Event
Injury
Summary report: N
INBRACE
MDR report key: 11027384
·
Received December 16, 2020
Report
- Report Number
- MW5098419
- Event Type
- Injury
- Date Received
- December 16, 2020
- Date of Event
- July 2, 2019
- Report Date
- December 14, 2020
- Manufacturer
- SWIFT HEALTH SYSTEMS INC.
- Product Code
- EJF
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I HAD THE BEHIND THE TEETH BRACES AKA ORTHODONTIC APPLIANCE BY INBRACE (WWW.INBRACE.COM) INSTALLED AND IT SEVERELY IMPACTED MY SPEECH, INCLUDING A HORRIBLE LISP. DESPITE NUMEROUS ADJUSTMENTS AND VARIOUS ATTEMPTS BY THE ORTHODONTIST (AND RECOMMENDATION OF AN ASSORTMENT OF EXERCISES TO RELEARN HOW TO PRONOUNCE WORDS) THEY WERE UNSUCCESSFUL. I HAD TO HAVE IT REMOVED AND WAS CHARGED A PENALTY OF $(B)(6). I HAVE REACHED OUT TO THE COMPANY NUMEROUS OCCASIONS INCLUDING THE CEO, NO ONE HAS RESPONDED. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1484333 | INBRACE | BRACKET, METAL, ORTHODONTIC | EJF | SWIFT HEALTH SYSTEMS INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Required Intervention |