BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TIMAX

    MDR report key: 2163473 · Received June 20, 2011

    Report

    Report Number
    1032227-2011-00002
    Event Type
    Injury
    Date Received
    June 20, 2011
    Report Date
    May 19, 2011
    Manufacturer
    NSK TOCHIGI-KEN
    Product Code
    EGS
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    CT, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    THE DENTIST ADVISED THAT DURING A CROWN PROCEDURE, THE RIGHT SIDE OF THE PATIENT'S TONGUE WAS SEVERELY BURNED. THE DENTIST REMOVED THE DEAD SKIN AND GAVE THE PATIENT OINTMENT. THE DENTIST ADVISED HE BELIEVED THERE WOULD BE SOME SCARRING ON THE TONGUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TIMAX EGS NSK TOCHIGI-KEN TI95L

    Patients

    Seq Age Sex Outcome Treatment
    1 Other