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