FDA Adverse Event Other Summary report: N

MILTEX

MDR report key: 137747 · Received January 14, 1997

Report

Report Number
2431021-1997-90003
Event Type
Other
Date Received
January 14, 1997
Manufacturer
MILTEX INSTRUMENT CO.
Product Code
FMF
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

AFTER DR INJECTED PT WITH A MANDIBULAR BLOC, HE REMOVED SYRINGE FROM PT'S MOUTH, WENT TO REMOVE THE NEEDLE FROM THE SYRINGE, FOUND NEEDLE NOT PRESENT IN THE SYRINGE, LOOKED IMMEDIATELY IN PT'S MOUTH, FOUND NEEDLE WITH "HUB" ATTACHED, REMOVED IT SUCCESSFULLY WITHOUT INCIDENT. NO PT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MILTEX SELF ASPIRATING SYRINGE FMF MILTEX INSTRUMENT CO. SELF ASPIRATING SYRINGE UNK

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention