BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TIMAX

    MDR report key: 1848508 · Received September 23, 2010

    Report

    Report Number
    9611253-2010-00059
    Event Type
    Injury
    Date Received
    September 23, 2010
    Date of Event
    October 1, 2007
    Report Date
    October 17, 2007
    Manufacturer
    NSK TOCHIGI-KEN (JAPAN)
    Product Code
    EGS
    PMA / PMN Number
    K972569
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    ON INITIAL CONTACT, DENTIST REPORTED HANDPIECE BURNT PT'S TONGUE. ATTEMPTED TO CONTACT ON 10/08/2009, 10/14/2009 AND 10/15/2009 TO OBTAIN ADDITIONAL INFO, BUT NO CONTACT WAS MADE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TIMAX EGS NSK TOCHIGI-KEN (JAPAN) TI95L

    Patients

    Seq Age Sex Outcome Treatment
    1