FDA Adverse Event
Malfunction
Summary report: N
BURS CARBIDE FG 557
MDR report key: 1246053
·
Received November 25, 2008
Report
- Report Number
- 2411236-2008-25723
- Event Type
- Malfunction
- Date Received
- November 25, 2008
- Date of Event
- October 29, 2008
- Report Date
- October 29, 2008
- Manufacturer
- LES FILS D'AUGUSTE MAILLEFER S.A.
- Product Code
- EJL
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- PA, US
- Reporter Occupation
- DENTIST
Narratives
Description of Event or Problem · 1
DENTIST CLAIMS THAT THE BURS BREAK AS SOON AS THEY TOUCH THE TOOTH. THE HAVE HAD ABOUT 60 BURS BROKEN. NO PT WAS INJURED AND ALL THE PIECES WERE EITHER SPIT OUT BY THE PT OR RETRIEVED WITH FORCEPS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BURS CARBIDE FG 557 | BURS CARBIDE FG 557 | EJL | LES FILS D'AUGUSTE MAILLEFER S.A. | 429554C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |