FDA Adverse Event Injury Summary report: N

HENRY SCHEIN

MDR report key: 18949888 · Received March 21, 2024

Report

Report Number
3007007357-2024-00009
Event Type
Injury
Date Received
March 21, 2024
Date of Event
February 19, 2024
Report Date
March 19, 2024
Manufacturer
HANDPIECE HEADQUARTERS
Product Code
EFB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

BUR DISLODGED FROM HANDPIECE DURING A SURGICAL EXTRACTION PROCEDURE WHERE PATIENT SWALLOWED THE BUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
532757 HENRY SCHEIN HANDPIECE EFB HANDPIECE HEADQUARTERS MAXIMA PRO 45

Patients

Seq Age Sex Outcome Treatment
1 35 YR Male Other