BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ADC 1060 DENTAL CHAIR COMPLETE

    MDR report key: 20941036 · Received December 12, 2024

    Report

    Report Number
    MW5163629
    Event Type
    Injury
    Date Received
    December 12, 2024
    Date of Event
    June 7, 2024
    Report Date
    December 9, 2024
    Manufacturer
    UNKNOWN
    Product Code
    NRU
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    US
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    AFFORDABLE DENTAL CHAIRS ADC BASED OUT OF (B)(6) SOLD ME A DENTAL CHAIR DIRECT. I WAS SUSPICIOUS AT FIRST SINCE THIS TYPE OF EQUIPMENT IS NORMALLY SOLD THROUGH AUTHORIZED DISTRIBUTORS BUT THE PRICE WAS JUST TOO LOW TO TURN DOWN. I BOUGHT THE PRODUCT AND THEY INSTALLED IT AND AFTER USING IT I SAW RUST COMING FROM OUT OF THE TUBING¿S WHICH IN TURN PLACE WATER INTO THE PATIENTS MOUTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    239048 ADC 1060 DENTAL CHAIR COMPLETE CHAIR, DENTAL, WITHOUT OPERATIVE UNIT NRU UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Male Disability| C