FDA Adverse Event Injury Summary report: N

3M¿ CLARITY¿ ADVANCED CERAMIC BRACKETS, APC¿ FLASH-FREE

MDR report key: 21588949 · Received March 12, 2025

Report

Report Number
2020467-2025-00002
Event Type
Injury
Date Received
March 12, 2025
Date of Event
January 7, 2025
Report Date
March 12, 2025
Manufacturer
3M UNITEK CORPORATION
Product Code
NJM
PMA / PMN Number
K102803
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MDR 2020467-2025-00002 SUBMITTED ON 12-MAR-2025 NOTED THE FOLLOWING: SECTION B2 OUTCOMES ATTRIBUTED TO ADVERSE EVENT: BLANK. SECTION B5 DESCRIBE EVENT OR PROBLEM: PHYSICIAN REPORTED¿ CORRECTIONS: SECTION B2 OUTCOMES ATTRIBUTED TO ADVERSE EVENT: REQUIRED INTERVENTION TO PREVENT PERMANENT IMPAIRMENT/DAMAGE(DEVICES). SECTION B5 DESCRIBE EVENT OR PROBLEM: AN ORTHODONTIST REPORTED¿

Additional Manufacturer Narrative · 0

NO SAMPLE WAS RETURNED FOR ANALYSIS AND NO LOT NUMBER WAS PROVIDED; THEREFORE, CAUSE AND TIMING OF THE ATTRITION COULD NOT BE DETERMINED. SOLVENTUM WILL CONTINUE TO MONITOR.

Description of Event or Problem · 0

AN ORTHODONTIST REPORTED THE PATIENT ALLEGEDLY HAD ATTRITION ON THE UPPER TEETH THAT WERE HITTING THE LOWER 3M¿ CLARITY¿ ADVANCED CERAMIC BRACKETS. THE ATTRITION OCCURRED ON THE UPPER CENTRAL AND LATERAL INCISORS. RESTORATIONS WERE REQUIRED FOR 4 TEETH TO REPAIR THE ATTRITION AND RESTORE TEETH TO ORIGINAL STATE.

Description of Event or Problem · 0

PHYSICIAN REPORTED THE PATIENT ALLEGEDLY HAD ATTRITION ON THE UPPER TEETH THAT WERE HITTING THE LOWER 3M CLARITY ADVANCED CERAMIC BRACKETS. THE ATTRITION OCCURRED ON THE UPPER CENTRAL AND LATERAL INCISORS. RESTORATIONS WERE REQUIRED FOR 4 TEETH TO REPAIR THE ATTRITION AND RESTORE TEETH TO ORIGINAL STATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1689861 3M¿ CLARITY¿ ADVANCED CERAMIC BRACKETS, APC¿ FLASH-FREE BRACKET, CERAMIC, ORTHODONTIC; ADHESIVE, BRACKET AND TOOTH CONDITIONER, RESIN NJM 3M UNITEK CORPORATION 4006-350 NI

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention