FDA Adverse Event
Injury
Summary report: N
SGS
MDR report key: 22613621
·
Received July 25, 2025
Report
- Report Number
- 1422375-2025-00013
- Event Type
- Injury
- Date Received
- July 25, 2025
- Date of Event
- July 7, 2025
- Report Date
- July 25, 2025
- Manufacturer
- NAKANISHI INC.
- Product Code
- KMW
- UDI-DI
- 04560264556294
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE HANDPIECE OVERHEATED ABNORMALLY DURING A THIRD MOLAR EXTRACTION PROCEDURE AND THE PATIENT RECEIVED A THERMAL BURN TO THEIR EXTERNAL CHEEK. THE BURN OCCURRED WHEN THE DOCTOR RESTED THE HANDPIECE ON THE PATIENT'S CHEEK DURING THE PROCEDURE, NOT REALIZING THAT IT HAD BECOME VERY HOT WHILE IN USE. THE PATIENT WAS REFERRED TO A DERMATOLOGIST FOR FURTHER TREATMENT OF THE INJURY AND IS EXPECTED TO HEAL NORMALLY WITH LITTLE TO NO SCARRING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1939707 | SGS | DENTAL HANDPIECE | KMW | NAKANISHI INC. | SGS-E2S | 04560264556294 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 21 YR | Female | Other |