FDA Adverse Event Other Summary report: N

CAVITRON CLEANER

MDR report key: 13735 · Received June 2, 1994

Report

Report Number
MW1002330
Event Type
Other
Date Received
June 2, 1994
Date of Event
April 13, 1994
Report Date
April 14, 1994
Manufacturer
PARKELL PRODUCTS, INC.
Product Code
ELC
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
WA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PT UNDERWENT CLEANING OF TEETH BY ULTRASOUND METHOD. PT HAS RUPTURED TYMPANIC MEMBRANE ON SIDE THAT WAS CLEANED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CAVITRON CLEANER ULTRASONIC TOOTH CLEANER ELC PARKELL PRODUCTS, INC. TURBO 25-30

Patients

Seq Age Sex Outcome Treatment
1 28 YR Other