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