FDA Adverse Event
Injury
Summary report: N
HENRY SCHEIN
MDR report key: 14349579
·
Received May 10, 2022
Report
- Report Number
- 2411236-2022-00002
- Event Type
- Injury
- Date Received
- May 10, 2022
- Date of Event
- February 21, 2022
- Report Date
- April 26, 2022
- Manufacturer
- PRIMA DENTAL GROUP
- Product Code
- EJL
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
THE DENTIST WAS PERFORMING A PROCEDURE ON A 64 YEAR OLD MALE PATIENT WHEN THE BUR CAME OUT OF A HANDPIECE AND WAS SWALLOWED BY THE PATIENT. ABDOMINAL RADIOGRAPHS WERE DONE INITIALLY AND CT SCAN AT A LATER DATE TO MAKE SURE THE BUR PASSED THE STOOL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 870789 | HENRY SCHEIN | CARBIDE SURGICAL BUR FG 557 | EJL | PRIMA DENTAL GROUP |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Male | Other |