FDA Adverse Event
Malfunction
Summary report: N
HENRY SCHEIN
MDR report key: 20843640
·
Received December 4, 2024
Report
- Report Number
- 3011300255-2024-00007
- Event Type
- Malfunction
- Date Received
- December 4, 2024
- Date of Event
- October 15, 2024
- Report Date
- December 4, 2024
- Manufacturer
- W&H DENTALWERK BUERMOOS GMBH
- Product Code
- EFB
- UDI-DI
- 00304040153857
- PMA / PMN Number
- K162926
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
3007007357-2024-00024 AFTER INVESTIGATION, NO DEFECT WAS FOUND, THE OVERHEATING COULD NOT BE REPRODUCED. THE CONTRA-ANGLE HANDPIECE WAS WELL MAINTAINED ON THE OUTSIDE AND INSIDE AND WORKS PERFECTLY.
Description of Event or Problem · 0
DEVICE WAS OVER HEATING DURING TREATMENT OF PATIENT. NO INJURIES OR BURNS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1850092 | HENRY SCHEIN | DENTAL HANDPIECE | EFB | W&H DENTALWERK BUERMOOS GMBH | MAXIMA ELITE 2 CA | 00304040153857 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other |