FDA Adverse Event
Injury
Summary report: N
HENRY SCHEIN
MDR report key: 19731536
·
Received July 12, 2024
Report
- Report Number
- 3007007357-2024-00019
- Event Type
- Injury
- Date Received
- July 12, 2024
- Report Date
- July 11, 2024
- Manufacturer
- TTBIO CORP.
- Product Code
- EFB
- UDI-DI
- 00304040058534
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- US
- Reporter Occupation
- 501
Narratives
Description of Event or Problem · 0
TIP BROKE OFF DEVICE DURING TREATMENT OF PATIENT. THE PATIENT EXPERIENCED MINOR CHEEK BLEEDING AS A RESULT. NO SERIOUS INJURIES REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2348163 | HENRY SCHEIN | HANDPIECE | EFB | TTBIO CORP. | MASTER TORQUE 3 PB FD HEAD | 00304040058534 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other |