FDA Adverse Event
Malfunction
Summary report: N
EDGEONE PLATINUM
MDR report key: 20706048
·
Received November 18, 2024
Report
- Report Number
- 3008857765-2024-00006
- Event Type
- Malfunction
- Date Received
- November 18, 2024
- Date of Event
- October 16, 2024
- Report Date
- November 18, 2024
- Manufacturer
- US ENDODONTICS, LLC.
- Product Code
- EKS
- UDI-DI
- 00819514020721
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
N/A.
Description of Event or Problem · 0
FILE BROKE INSIDE THE TOOTH AND WAS NOT ABLE TO BE REMOVED. THE PATIENT WAS REFERRED TO AN ENDODONTIST FOR A CONSULT. AS OF THIS DATE OF THIS REPORT, NO ENDODODONTIC APPOINTMENT HAS OCCURRED OR BEEN SCHEDULED. AS THE MANUFACTURER, IF WE RECEIVE FURTHER UPDATES, WE WILL ADD ADDITIONAL DETAIL TO THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2596131 | EDGEONE PLATINUM | ENDODONTIC ROTARY FILE | EKS | US ENDODONTICS, LLC. | EOPPRI31 | 070822208 | 00819514020721 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |