FDA Adverse Event Injury Summary report: N

GENTLEPOWER LUX CONTRA ANGLE 25LPA

MDR report key: 1061859 · Received June 12, 2008

Report

Report Number
1419798-2008-00009
Event Type
Injury
Date Received
June 12, 2008
Date of Event
May 9, 2008
Report Date
May 15, 2008
Manufacturer
KALTENBACH & VOIGT GMBH
Product Code
EKK
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
OH, US
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

HANDPIECE BECAME HOT AND BURNED PT'S CHEEK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GENTLEPOWER LUX CONTRA ANGLE 25LPA DENTAL HANDPIECES AND ACCESSORIES EKK KALTENBACH & VOIGT GMBH 25LPA *

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention