BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GENTLEPOWER LUX CONTRA ANGLE 25LPA

    MDR report key: 1364604 · Received April 20, 2009

    Report

    Report Number
    1419798-2009-00009
    Event Type
    Injury
    Date Received
    April 20, 2009
    Date of Event
    March 9, 2009
    Report Date
    March 11, 2009
    Manufacturer
    KALTENBACH & VOIGT GMBH
    Product Code
    EFB
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    WHILE THE DOCTOR WAS WORKING ON THE LEFT SIDE OF THE MOUTH, THE PATIENT RECEIVED A SMALL BURN TO THE CHEEK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GENTLEPOWER LUX CONTRA ANGLE 25LPA DENTAL HANDPIECE AND ACCESSORIES EFB KALTENBACH & VOIGT GMBH 25LPA

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention