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