BEUDAMED
    FDA Adverse Event Summary report: N

    PROPHY JET CLEANING POWDER-2

    MDR report key: 11518 · Received February 7, 1994

    Report

    Report Number
    MW4000203
    Date Received
    February 7, 1994
    Date of Event
    March 25, 1993
    Report Date
    April 16, 1993
    Manufacturer
    DENTSPLY
    Product Code
    KJJ
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT RECEIVED A CHEMICAL BURN TO THE EYE. HER EYE ALSO BLISTERED FROM CHEMICAL, AND THE CHEMICAL WAS NOT SPRAYED INTO PT'S EYE. WHAT GOT INTO HER EYE WAS WHAT WAS FLOATING IN THE AIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROPHY JET CLEANING POWDER-2 KJJ DENTSPLY

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR