FDA Adverse Event
Injury
Summary report: N
GENTLEPOWER LUX CONRA ANGLE 25LPA
MDR report key: 1871092
·
Received October 12, 2010
Report
- Report Number
- 3003637274-2010-00035
- Event Type
- Injury
- Date Received
- October 12, 2010
- Date of Event
- September 22, 2010
- Report Date
- September 27, 2010
- Manufacturer
- KAVO DENTAL GMBH
- Product Code
- EFB
- PMA / PMN Number
- K073478
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MS, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A DENTIST WAS PERFORMING A ROUTINE PROCEDURE ON A PT USING A DENTAL ELECTRICAL HANDPIECE WHEN THE PT'S LOWER LIP WAS BURNED BY THE HEAD OF A HANDPIECE. THE PT WAS NOT GIVEN ANY MEDICATION OR OINTMENT FOR BURN. DURING PRODUCT EVAL, LOW DEBRIS LEVEL WAS FOUND IN THE HANDPIECE. THE BEARINGS WHERE GRITTY, RUNS OUT OF SPEC. WHICH LEAD TO HEATING UP THE HEAD.
Description of Event or Problem · 1
A DENTIST WAS PERFORMING A ROUTINE PROCEDURE ON A PT USING A DENTAL ELECTRICAL HANDPIECE WHEN THE PT'S LOWER LIP WAS BURNED BY THE HEAD OF A HANDPIECE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | GENTLEPOWER LUX CONRA ANGLE 25LPA | DENTAL HANDPIECE | EFB | KAVO DENTAL GMBH | 25LPA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |