FDA Adverse Event
Injury
Summary report: N
MANI BARBED BROACHES
MDR report key: 17477910
·
Received August 8, 2023
Report
- Report Number
- 3002692886-2023-00003
- Event Type
- Injury
- Date Received
- August 8, 2023
- Date of Event
- June 25, 2023
- Report Date
- August 8, 2023
- Manufacturer
- MANI HANOI CO. LTD
- Product Code
- EKW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING A ROOT CANAL PROCEDURE, A NEW BARBED BROACH BROKE OFF AND REMAINED IN THE CANAL. THE DENTIST HAD TO EXTRACT THE TOOTH IN ORDER TO REMOVE THE BROKEN BROACH. AS A RESULT OF THE COMPLAINT INVESTIGATION, THE RETURNED PRODUCTS( FROM SAME LOT RETURNED FROM USER) WERE CONFIRMED TO BE MANI PRODUCTS, THE APPEARANCE AND DIMENSIONS, AS WELL AS THE RESULTS OF TORSION AND BENDING TESTS, WERE ALL WITHIN THE STANDARD VALUES, ALSO NO PROBLEMS WERE IDENTIFIED. THEREFORE, WE JUDGED THAT THE FRACTURE MAY HAVE BEEN CAUSED BY EXCESSIVE LOAD APPLIED DURING USE OR BY BEING PUSHED HARDLY INTO THE ROOT CANAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1480848 | MANI BARBED BROACHES | BROACH, ENDODONTIC | EKW | MANI HANOI CO. LTD | 00 | B22C001800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Prefer Not To Disclose | Required Intervention |