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 |