FDA Adverse Event Injury Summary report: N

3M¿ SMARTCLIP¿ SL3 SELF-LIGATING BRACKETS

MDR report key: 23343926 · Received October 20, 2025

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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