BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HENRY SCHEIN

    MDR report key: 14250793 · Received April 29, 2022

    Report

    Report Number
    2411236-2022-00001
    Event Type
    Injury
    Date Received
    April 29, 2022
    Date of Event
    April 8, 2022
    Report Date
    April 15, 2022
    Manufacturer
    MDT MICRO DIAMOND TECHNOLOGIES
    Product Code
    DZP
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    THE DENTIST WAS PERFORMING A FILING PROCEDURE ON A (B)(6) FEMALE PATIENT WHEN THE DIAMOND SINGLE-USE BUR CAME OUT OF A 430SW HANDPIECE AND WAS SWALLOWED BY THE PATIENT. THE PATIENT WAS ADVISED TO GO FOR A CHEST X-RAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    204454 HENRY SCHEIN DIAMOND SINGLE-USE FG 379-023C BUR DZP MDT MICRO DIAMOND TECHNOLOGIES

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Female Other