FDA Adverse Event Injury Summary report: N

COMPUDENT STA

MDR report key: 1340099 · Received February 19, 2009

Report

Report Number
3004082685-2009-00001
Event Type
Injury
Date Received
February 19, 2009
Report Date
February 18, 2009
Manufacturer
MILESTONE SCIENTIFIC, INC.
Product Code
EJI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

I HAVE ATTACHED A REPORT FROM DR, DIRECTOR OF FROM THE COMPUDENT-STA OPERATORS MANUAL. IN DR'S REPORT, HE OUTLINES HIS CONTACTS WITH THE DENTIST AND HIS CONCLUSIONS. THE DENTIST STATED TO DR THAT SHE DID NOT READ THE INSTRUCTIONS IN THE MANUAL. AN INITIAL EVALUATION WAS CONDUCTED OF THE UNIT INVOLVED IN THIS EVENT. THE RESULTS OF THIS EVALUATION SHOWED THAT THE UNIT WAS OPERATING PER SPECIFICATION. A MORE DETAILED ANALYSIS OF THE UNIT IS UNDERWAY.

Description of Event or Problem · 1

A COMPUDENT-STA UNIT WAS USED IN CONJUNCTION WITH A WAND-STA HANDPIECE TO PERFORM A DENTAL ANESTHETIC INJECTION. THE DENTIST PERFORMING THE INJECTION REPORTED THAT NECROSIS OF TISSUE OCCURRED AT THE INJECTION SITE. THE DENTIST INJECTED INTO A LOWER MOLAR APPROXIMATELY .9ML OF 4% ARTICANE WITH A 1:100,000 CONCENTRATION OF EPINEPHRINE. THE DOSAGE AND EPINEPHRINE CONCENTRATIONS ADMINISTERED BY THE DENTIST IS SPECIFICALLY NOT RECOMMENDED FOR THESE TYPES OF INJECTIONS IN THE OPERATORS MANUAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COMPUDENT STA EJI MILESTONE SCIENTIFIC, INC. STA-5110 NA

Patients

Seq Age Sex Outcome Treatment
1 Other