FDA Adverse Event Malfunction Summary report: N

TIMAX

MDR report key: 1509034 · Received October 15, 2009

Report

Report Number
1032227-2009-00044
Event Type
Malfunction
Date Received
October 15, 2009
Date of Event
November 1, 2007
Report Date
November 29, 2007
Manufacturer
NSK TOCHIGI-KEN (JAPAN)
Product Code
EGS
Product Problem
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

ON INITIAL CONTACT, DENTIST REPORTED HANDPIECE OVERHEATING AND BURNT TWO PATIENTS CHEEKS. ATTEMPTED TO CONTACT OFFICE FOR ADDITIONAL INFO, BUT PERSONNEL WERE UNAVAILABLE UNTIL 10/19/2009.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TIMAX EGS NSK TOCHIGI-KEN (JAPAN) TI85L

Patients

Seq Age Sex Outcome Treatment
1