BEUDAMED
    FDA Adverse Event Other Summary report: N

    430 K SW HANDPIECE

    MDR report key: 207277 · Received January 22, 1999

    Report

    Report Number
    2520265-1998-00005
    Event Type
    Other
    Date Received
    January 22, 1999
    Date of Event
    December 22, 1998
    Manufacturer
    DENTALEZ GROUP
    Product Code
    EJB
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NV, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    DR WAS PERFORMING A CROWN PREP ON #29 TOOTH. PT WAS BURNED ON LOWER LIP. DR APPLIED SALVE TO BURN MARK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 430 K SW HANDPIECE 430 K SW HANDPIECE EJB DENTALEZ GROUP 362057 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other