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 |