​Smiles in Motion IPAC Lapse Report

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Establishment under investigation (name and address) ​Smiles in Motion36 King George Rd, Brantford, ON
N3R 5K1
​Establishment type ​Dental clinic
​Date health unit became aware of potential IPAC lapse ​July 13, 2022
​Date of initial report posting ​August 17, 2022
​Date of initial report update(s) (if applicable)
​​How was the IPAC lapse identified? ​​Complaint by a member of the public.
​Date of on-site investigation ​August 9, 2022
​​Did the IPAC lapse involve a member of a regulatory college? ​​Yes; Royal College of Dental Surgeons of Ontario
​​​​If yes, was the issue referred to the regulatory college? ​Yes
​​Were corrective actions recommended and/or implemented? ​Yes
​​Date of any order(s) or directive(s) issued to the owner/operator (if applicable) ​N/A
​​Summary description of the IPAC lapse
  1. ​Reusable instruments (e.g., air/water syringes) were not sterile to the point of use.
  2. Reusable instruments (e.g., air/water syringes) were stored in a drawer, which was observed to be visibly dirty.
  3. Incorrect packaging of the reusable air/water syringes prior to sterilization (i.e., the instruments were not properly packaged to allow steam to move around and through the item(s) and all contact surfaces).
  4. Manufacturer’s instruction for use (MIFU’s) for the reusable air/water syringes were not available for review.
​​Additional comments and/or updates to initial report ​Staff members responsible for any or all steps in reprocessing are recommended to complete the Medical Device Reprocessing Techniques Online Course through the Medical Device Reprocessing Association of Ontario.
Brief description of corrective measures taken ​Following the investigation conducted by health unit staff, the following corrective actions were taken:

  • Reusable air/water syringes will no longer be used
  • Single use disposable air/water syringes were acquired for use by dental clinic staff
​Date all corrective measures were confirmed to have been completed ​August 10, 2022
​​Date of final report posting and/or any date of any updates to final posting ​August 17, 2022
​​Date of follow-up to confirm corrective actions taken and completed ​August 10, 2022
​Additional comments ​Staff members responsible for any or all steps in reprocessing are recommended to complete the Medical Device Reprocessing Techniques Online Course through the Medical Device Reprocessing Association of Ontario.