FDA Adverse Event Injury Summary report: N

W&H

MDR report key: 21861491 · Received April 17, 2025

Report

Report Number
3007007357-2025-00003
Event Type
Injury
Date Received
April 17, 2025
Date of Event
August 8, 2023
Report Date
April 17, 2025
Manufacturer
HANDPIECE HEADQUARTERS
Product Code
EFB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

DENTAL BUR UTILIZED BECAME DETACHED FROM THE HANDPIECE, ENTERING PATIENT'S NOSE AND RESULTING TO BEING SWALLOWED BY PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
31981 W&H TURBINE EFB HANDPIECE HEADQUARTERS W&H SYNEA TA-98

Patients

Seq Age Sex Outcome Treatment
1 52 YR Female Other