FDA Adverse Event Injury Summary report: N

KAVO SPRAY AMERICA 2113

MDR report key: 1209203 · Received October 24, 2008

Report

Report Number: 8010493-2008-00021
Event Type: Injury
Date Received: October 24, 2008
Date of Event: September 25, 2008
Report Date: September 25, 2008
Manufacturer: KALTENBACH & VOIGT GMBH
Product Code: EFB
Adverse Event: Yes
Report Source: Manufacturer report
Reporter Location: VA, US
Reporter Occupation: DENTIST

Narratives

Additional Manufacturer Narrative · 1

THE DENTAL ASSISTANT WAS TAKEN TO THE EMERGENCY ROOM FOR TREATMENT; CREAM WAS APPLIED TO THE ARM AND THEN COVERED/WRAPPED.THE ASSISTANT WAS USING THE KAVO SPRAY TO MAINTAIN THE DENTAL HANDPIECE. THE EXCESS OIL FROM THE HANDPIECE WAS DRAINING INTO THE SINK WITH HOT WATER RUNNING TO CLEAN THE OIL IN THE SINK. A KAVO RESPRESENTATIVE INSPECTING THE SITE ASKED WHERE THE FLARE UP OCCURED AND THE ASSISTANT MENTIONED THAT THE EXCESS OIL IN THE SINK CAUGHT FIRE. HER LEFT ARM BEING CLOSE TO THE SINK RECEIVED THE BURNS. THE WARNING ON THE CAN WAS EXPLAINED THAT WITHOUT ADEQUATE VENTILATION, FORMATION OF EXPLOSIVE MIXTURES MAY BE POSSIBLE. NO BURNER OR OPEN FLAME WAS IN THE ROOM.THE RUNNING OF THE HOT WATER HAS NO EFFECT AS STATED BY KAVO ENGINEERS SINCE THE FLASH POINT IS 300 DEGREES CELCIUS WHICH IS ABOVE THE BOILING POINT FOR WATER. AN INSPECTION OF THE OFFICE COULD NOT FIND ANY IGNITION SOURCES. THE DOCTOR HAS REPLACED THE KAVO SPRAY CANS WITH A QUATTROCARE UNIT.

Description of Event or Problem · 1

THE DENTAL ASSISTANT WAS SPRAYING A HANDPIECE IN THE SINK WITH KAVO SPRAY AND A BLUE FLAME BURST APPEARED. THE DENTAL ASSISTANT'S HAIR AND EYEBROWS WERE SINGED AND LEFT ARM WAS BURNED FROM THE ELBOW DOWN TO NEAR THE WRIST.

Devices

Seq	Brand	Generic	Product Code	Manufacturer	Model	Lot	UDI-DI
1	KAVO SPRAY AMERICA 2113	DENTAL HANDPIECE AND ACCESSORIES	EFB	KALTENBACH & VOIGT GMBH	2113	0704021R3

Patients

Seq	Age	Sex	Outcome	Treatment
1			Hospitalization\| R