FDA Adverse Event Injury Summary report: N

GENTLEPOWER LUX CONTRA ANGLE 25LPA

MDR report key: 1673161 · Received April 29, 2010

Report

Report Number
1017522-2010-00004
Event Type
Injury
Date Received
April 29, 2010
Date of Event
March 30, 2010
Report Date
April 2, 2010
Manufacturer
KAVO DENTAL GMBH
Product Code
EKX
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
VA, US
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

A DENTIST WAS PERFORMING A ROUTINE PROCEDURE, ON A PT USING A DENTAL ELECTRIC HANDPIECE WHEN THE PT'S TONGUE WAS BURNED BY THE HEAD OF THE HANDPIECE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GENTLEPOWER LUX CONTRA ANGLE 25LPA DENTAL HANDPIECE EKX KAVO DENTAL GMBH 25LPA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention