BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SURGICAL HANDPIECE 3555 NLA

    MDR report key: 1736853 · Received June 24, 2010

    Report

    Report Number
    1017522-2010-00011
    Event Type
    Injury
    Date Received
    June 24, 2010
    Date of Event
    May 14, 2010
    Report Date
    May 26, 2010
    Manufacturer
    KAVO DENTAL GMBH
    Product Code
    EKX
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    A DENTIST WAS PERFORMING A ROUTINE PROCEDURE ON A PT USING A DENTAL ELECTRIC HANDPIECE WHEN THE PTS INSIDE LOWER LIP WAS BURNED BY THE HEAD OF THE HANDPIECE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURGICAL HANDPIECE 3555 NLA DENTAL HANDPIECE EKX KAVO DENTAL GMBH 3555 NLA *

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention