FDA Adverse Event Injury Summary report: N

SOLO DIAMOND

MDR report key: 18544785 · Received January 19, 2024

Report

Report Number
2511556-2023-00008
Event Type
Injury
Date Received
January 19, 2024
Date of Event
November 16, 2023
Report Date
January 17, 2024
Manufacturer
PREMIER DENTAL PRODUCTS COMPANY
Product Code
DZP
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

THE DIAMOND BUR EJECTED IN THE PATIENTS MOUTH AND WAS SWALLOWED BY THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1141261 SOLO DIAMOND DIAMOND, DENTAL BURR DZP PREMIER DENTAL PRODUCTS COMPANY

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention