BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LARES 757 WORKHORSE APOLLO

    MDR report key: 106686 · Received July 17, 1997

    Report

    Report Number
    2916440-1997-00001
    Event Type
    Injury
    Date Received
    July 17, 1997
    Date of Event
    May 2, 1997
    Report Date
    July 16, 1997
    Manufacturer
    LARES RESEARCH, INC.
    Product Code
    EFB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    DENTAL BUR EJECTED FROM HANDPIECE AND WAS SWALLOWED BY PT. THE DENTAL BUR WAS SUBSEQUENTLY VIEWED DURING X-RAY EXAMINATION AND FOUND TO BE LODGED IN THE COLON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LARES 757 WORKHORSE APOLLO HIGH SPEED DENTAL HANDPIECE EFB LARES RESEARCH, INC. 757 WORKHORSE APOLLO NA

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Required Intervention