FDA Adverse Event Injury Summary report: N

MANI REAMERS

MDR report key: 20477843 · Received October 17, 2024

Report

Report Number
3002692886-2024-00002
Event Type
Injury
Date Received
October 17, 2024
Date of Event
July 9, 2024
Report Date
October 18, 2024
Manufacturer
MANI HANOI CO. LTD
Product Code
EKP
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

- DATE OF MEDICAL DEVICE USE: (B)(6) 2024. - REASON FOR USING THE MEDICAL DEVICE: PERFORMING ROOT CANAL TREATMENT FOR A PATIENT'S PULPITIS - STATUS OF MEDICAL DEVICE USAGE (WHETHER USED NORMALLY): USED NORMALLY - DATE OF ADVERSE EVENT OCCURRENCE: (B)(6) 2024. - SITUATION AT THE TIME OF MEDICAL DEVICE ADVERSE EVENT: THE PRODUCT FRACTURED AT THE APICAL THIRD, CAUSING AN OBSTRUCTION IN THE ROOT CANAL, LEADING TO THE FORMATION OF CHRONIC INFLAMMATION AT THE APEX, NECESSITATING LONG-TERM TREATMENT. - DATE OF ACTION TAKEN: (B)(6) 2024. - MEASURES TAKEN AFTER THE OCCURRENCE OF THE MEDICAL DEVICE ADVERSE EVENT: AFTER CONSULTATION WITH THE PATIENT, IT WAS DECIDED TO PROCEED WITH TOOTH EXTRACTION. - **DATE OF IMPROVEMENT OR OUTCOME OF THE ADVERSE EVENT**: (B)(6) 2024. - RESULT AFTER TREATMENT: THE PATIENT IS RECOVERING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2207792 MANI REAMERS REAMER, PULP CANAL, ENDODONTIC EKP MANI HANOI CO. LTD #25 21MM R20C094000

Patients

Seq Age Sex Outcome Treatment
1 43 YR Female Required Intervention