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