MAUDE Adverse Event Report: MAILLEFER INSTRUMENTS HOLDING SARL PROGLIDER 3FILE STERILE 25MM; FILE, PULP CANAL, ENDODONTIC

Catalog Number	A092322500103
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Codes	Device Embedded In Tissue or Plaque (3165); Insufficient Information (4580)
Date of Event	02/20/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
There has been a previous report received where this malfunction resulted in a serious injury.Therefore, it must be presumed that recurrence of this malfunction could possibly cause or contribute to a serious injury or require medical or surgical intervention to preclude such.As such, this event is reportable per 21cfr part 803.The device is available for evaluation, though has not been returned as of this report.Evaluation results will be submitted as they become available.
Event or Problem Description
In this event it is reported that a proglider 3file sterile 25mm file broke during use.The outcome of this event is unknown as of this mdr.Further information requested.
Additional Manufacturer Narrative
Additional information received: we received the following information regarding this complaint: have all the broken parts been retrieved from patients mouth? we bypassed the first broken file, the second broken file was successfully removed.Has any further medical or surgical treatment been necessary after the event.No further medical or surgical treatment has been needed this far.This is a follow up report for this additional information.Investigation summary: three proglider files 25mm were returned (two files in loose + one unused file).Files in loose are both broken at the tip of the active part (fatigue; mixed conditions fatigue + torque).No material defect was found during analysis of the rupture patterns.Nothing unusual to report was found during dhr review (batch #1866687).Unused file was evaluated and was found in compliance with specifications.Root causes are not identified.We will track this kind of event and monitor the trend.This is to correct and remove the codes that were initially reported - removing codes for: health effect - clinical code - 4580.Health effect - impact code - 4648.The correct codes for this complaint are: health effect - clinical code - 3165.Health effect - impact code - 2199.This is a follow up report to correct this code.

• Brand Name: PROGLIDER 3FILE STERILE 25MM
• Common Device Name: FILE, PULP CANAL, ENDODONTIC
• Manufacturer (Section D): MAILLEFER INSTRUMENTS HOLDING SARL; ch. du verger 3; ballaigues vaud CH-13 38; SZ CH-1338
• Manufacturer (Section G): MAILLEFER INSTRUMENTS HOLDING SARL; ch. du verger 3; ballaigues vaud CH-13 38; SZ CH-1338
• Manufacturer Contact: dan eagar ; 221 west philadelphia st.; york, PA 17401 ; 7178457511
• MDR Report Key: 21513489
• Report Number: 8031010-2025-00018
• Device Sequence Number: 18136225
• Product Code: EKS
• UDI-Device Identifier: D716PROGLIDE251
• UDI-Public: D716PROGLIDE251
• Combination Product (Y/N): N
• Initial Reporter Country: SF
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign
• Initial Reporter Occupation: Dentist
• Type of Report: Initial,Followup
• Report Date (Section B): 03/28/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Catalogue Number: A092322500103
• Device Lot Number: 1866687
• Is the Reporter a Health Professional?: Yes
• Distributor Facility Aware Date: 02/20/2025
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 02/20/2025
• Supplement Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 03/04/2025
• Supplement Report FDA Received Date: 03/28/2025
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Usage of Device: A
• Patient Sequence Number: 1
• Patient Sex: Unknown