BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PATTERSON DISPOSABLE NEEDLE

    MDR report key: 120848 · Received September 11, 1997

    Report

    Report Number
    2183301-1997-00001
    Event Type
    Injury
    Date Received
    September 11, 1997
    Date of Event
    August 20, 1997
    Report Date
    September 11, 1997
    Manufacturer
    MPL TECHNOLOGIES
    Product Code
    DZM
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    DENTIST PERFORMED A LOWER MANDIBULAR BLOCK ON PT. NEEDLE BROKE OFF AT HUB. DENTIST WAS UNABLE TO LOCATE NEEDLE. REFERRED PT TO ORAL SURGEON WHO IN TURN, REFERRED TO HOSP EMERGENCY SERVICES. IT NOW APPEARS PT MAY REQUIRE A CATSCAN TO LOCATE NEEDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PATTERSON DISPOSABLE NEEDLE 30 GA SHORT DENTAL NEEDLE DZM MPL TECHNOLOGIES NA UNK 12725 OR 12671 OR 12345

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization