3M¿ SMARTCLIP¿ SL3 SELF-LIGATING BRACKETS
Report
- Report Number
- 2020467-2025-00004
- Event Type
- Injury
- Date Received
- October 20, 2025
- Date of Event
- September 18, 2025
- Report Date
- October 20, 2025
- Manufacturer
- 3M UNITEK CORPORATION
- Product Code
- EJF
- UDI-DI
- 00652212259481
- PMA / PMN Number
- K113197
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
A SAMPLE WAS NOT RETURNED FOR ANALYSIS. A LOT NUMBER WAS PROVIDED. THE COMPLAINT HISTORY WAS REVIEWED AND THERE ARE NO ADVERSE TRENDS. THE INSTRUCTIONS FOR USE (IFU) CONTAINS STATEMENTS THAT ACRYLATE MONOMERS ARE KNOWN TO PRODUCE ALLERGIC SKIN REACTIONS IN CERTAIN SENSITIVE INDIVIDUALS AND MAY CAUSE EYE AND SKIN IRRITATION, AND ALSO FOR NICKEL AND/OR CHROMIUM, WHERE A SMALL PERCENTAGE OF THE POPULATION IS KNOWN TO BE ALLERGIC TO NICKEL AND/OR CHROMIUM. SOLVENTUM WILL CONTINUE TO MONITOR.
A SEVERE ALLERGIC REACTION WAS ALLEGED WHERE A PATIENT EXPERIENCED SWOLLEN LIPS AND BREATHING ISSUES. MEDICAL TREATMENT WITH CORTICOSTEROIDS WERE GIVEN. THE PATIENT HAS A KNOWN ALLERGY AGAINST SILICONE THAT WAS NOT KNOWN BY THE ORTHODONTIST PRIOR TO ORTHODONTIC TREATMENT. THE SYMPTOMS RESOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2452571 | 3M¿ SMARTCLIP¿ SL3 SELF-LIGATING BRACKETS | BRACKET, METAL, ORTHODONTIC; ADHESIVE, BRACKET AND TOOTH CONDITIONER, RESIN | EJF | 3M UNITEK CORPORATION | 4004-122 | RV4NV | 00652212259481 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |