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