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