BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAMON UTILITY OPENING/CLOSING PLIER

    MDR report key: 686372 · Received March 10, 2006

    Report

    Report Number
    2016150-2006-00024
    Event Type
    Malfunction
    Date Received
    March 10, 2006
    Date of Event
    February 1, 2006
    Report Date
    February 24, 2006
    Manufacturer
    ORMCO CORP.
    Product Code
    JEX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IN 2006 A DR INFORMED ORMCO CORP THAT HE HAD A DAMON UTILITY OPENING/CLOSING PLIER WITH A BROKEN TUP INSERT, BRAZE FAILURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DAMON UTILITY OPENING/CLOSING PLIER PLIER, ORTHODONTIC JEX ORMCO CORP. NA 04D35

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other