FDA Adverse Event
Malfunction
Summary report: N
CARRIERE SLX 3D
MDR report key: 13550087
·
Received February 17, 2022
Report
- Report Number
- 2081322-2022-00001
- Event Type
- Malfunction
- Date Received
- February 17, 2022
- Report Date
- February 17, 2022
- Manufacturer
- ORTHO ORGANIZERS, INC.
- Product Code
- EJF
- UDI-DI
- 00190707048402
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- 505
Narratives
Additional Manufacturer Narrative · 0
AFTER A ROUND OF ROUTINE POST-MARKET BIOCOMPATIBILITY STUDIES, ORTHO ORGANIZERS BECAME AWARE THAT A SAMPLE OF SLX 3D ORTHODONTIC BRACKETS HAD FAILED CYTOTOXICITY TESTING. THE ORGANIZATION IS CURRENTLY CONDUCTING AN INVESTIGATION UNDER AN INTERNAL CAPA.
Description of Event or Problem · 0
AFTER A ROUND OF ROUTINE POST-MARKET BIOCOMPATIBILITY STUDIES, ORTHO ORGANIZERS BECAME AWARE THAT A SAMPLE OF SLX 3D ORTHODONTIC BRACKETS HAD FAILED CYTOTOXICITY TESTING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1864393 | CARRIERE SLX 3D | ORTHODONTIC METAL BRACKET | EJF | ORTHO ORGANIZERS, INC. | 777-UR1-10 | 00190707048402 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |