FDA Adverse Event
Injury
Summary report: N
TIMAX
MDR report key: 1642752
·
Received March 25, 2010
Report
- Report Number
- 1032227-2010-00002
- Event Type
- Injury
- Date Received
- March 25, 2010
- Date of Event
- January 13, 2010
- Report Date
- January 13, 2010
- Manufacturer
- NSK TOCHIGI-KEN
- Product Code
- EGS
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- FL, US
- Reporter Occupation
- DENTIST
Narratives
Description of Event or Problem · 1
ON INITIAL CONTACT, DENTIST ADVISED HANDPIECE BURNED PT CHECK AND TONGUE. BURNED AREA WAS WHITE ON RIGHT CHECK SIDE, AND WHITE PATCH ON TONGUE ABOUT THE SIZE OF A DIME. DENTIST RECOMMENDED SALT WATER RINSE. LATER CONTACT WITH THE DENTIST NOTED THAT PAIN MEDICATIONS WERE PRESCRIBED FOR THE PT, BUT NO OTHER FOLLOW UP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TIMAX | EGS | NSK TOCHIGI-KEN | TI95L |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR | Other |