FDA Adverse Event
Injury
Summary report: N
C-SHAPED VIBRATION DEVICE
MDR report key: 23167922
·
Received September 29, 2025
Report
- Report Number
- MW5176703
- Event Type
- Injury
- Date Received
- September 29, 2025
- Date of Event
- July 1, 2024
- Report Date
- September 23, 2025
- Manufacturer
- DENTSPLY LLC
- Product Code
- OYH
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
THE PROPEL ORTHODONTICS C-SHAPED VIBRATION DEVICE REF ASM-20018, LOT 011521-00004, MFG. DATE 2021-01-15, FAILED TO HOLD A CHARGE AND DID NOT WORK AS INTENDED (LACK OF EFFECT). WHEN CALLING THE COMPANY THEY DID NOT WANT TO TAKE A COMPLIANT AND SAID THERE IS NOTHING THEY CAN DO AND THEY DO NOT STAND BY THE QUALITY OF THEIR MEDICAL DEVICES. ADDITIONALLY, THE PHONE NUMBER ON THE LABEL IS NOT CORRECT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1839397 | C-SHAPED VIBRATION DEVICE | ORTHODONTIC VIBRATORY ACCESSORY | OYH | DENTSPLY LLC | ASM-20018 | 011521-00004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 45 YR | Female |