FDA Adverse Event
Malfunction
Summary report: N
CAVITRON 300 SERIES G310SCLR(DNA)
MDR report key: 20383069
·
Received October 7, 2024
Report
- Report Number
- 2424472-2024-00089
- Event Type
- Malfunction
- Date Received
- October 7, 2024
- Report Date
- November 15, 2024
- Manufacturer
- DENTSPLY LLC
- Product Code
- ELC
- UDI-DI
- D00382703111
- PMA / PMN Number
- K150535
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
(B)(6) 2024 REPAIR TECH: (B)(4). E1H PROBE,INNER MODULE,HP DAMAGED. INSERT WAS STUCK IN THE STERIMATE, BACK OF STERIMATE WAS SEPARATED. TOUCHSCREEN LAG. DEBRIS BUILDUP IN THE HANDPIECE CABLE. DEBRIS BUILDUP IN THE WATER FILTER. REPLACED DAMAGED/WORN COMPONENTS AND RECALIBRATED UNIT TO FACTORY SPECS. NO POWER CORD RECEIVED FOR EVALUATION." QA -DS. HANDPIECE # : OLD 202308 -- NEW 202408. HANDPIECE CABLE # : OLD 07200 -- NEW 07240.
Description of Event or Problem · 0
WHILE USING A CAVITRON 300 SERIES G310, THEY ALLEGE THAT THEY HAVE LOW WATER FLOW AND A HOT HANDPIECE, NO INJURY RESULTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2543474 | CAVITRON 300 SERIES G310SCLR(DNA) | SCALER, ULTRASONIC | ELC | DENTSPLY LLC | D00382703111 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |