FDA Adverse Event
Injury
Summary report: N
PWR PAIR
MDR report key: 24584082
·
Received March 12, 2026
Report
- Report Number
- 1416605-2026-00002
- Event Type
- Injury
- Date Received
- March 12, 2026
- Date of Event
- February 11, 2026
- Report Date
- March 12, 2026
- Manufacturer
- HU-FRIEDY MFG. CO. LLC
- Product Code
- KOJ
- UDI-DI
- 10889950142551
- PMA / PMN Number
- K231391
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE ISSUE MAY BE CROSSED AIR AND WATER LINES BASED ON THE DESCRIPTION OF THE ISSUE. THIS WILL CAUSE A CLOG IN THE UNIT AND LACK OF AIR AND / OR WATER IN THE LINE BASED ON HISTORICAL RETURNS. DEVICE WAS NOT RETURNED TO MANUFACTURER.
Description of Event or Problem · 0
DENTIST REPORTED WHILE USING THE PWR AIR POLISHER IT WAS DAMAGING THE TISSUE ON GUMS
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 579107 | PWR PAIR | AIRBRUSH | KOJ | HU-FRIEDY MFG. CO. LLC | APPAIR | 10889950142551 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |