BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD PRECISIONGLIDE NEEDLE

    MDR report key: 2299339 · Received October 12, 2011

    Report

    Report Number
    1911916-2011-00009
    Event Type
    Injury
    Date Received
    October 12, 2011
    Date of Event
    September 15, 2011
    Report Date
    October 12, 2011
    Manufacturer
    BECTON DICKINSON
    Product Code
    FMI
    PMA / PMN Number
    PREAMEND
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    DENTIST WAS DOING EXTRACTIONS ON THE LEFT SIDE OF THE UPPER AND LOWER JAW WITH IMMEDIATE INSERTION OF DENTURES. PT WAS GIVEN MULTIPLE INJECTIONS USING ZORCAIN, MARCAINE AND LIDOCAINE USING A 30G X 1" BD LUER-LOCK NEEDLE ATTACHED TO THE HAND PIECE. A GOW GATES INJECTION WAS ADMINISTERED TO THE LOWER LINGUAL BETWEEN TEETH #20 AND #21. WHILE GIVING THE INJECTION DENTIST HEARD THE NEEDLE SNAP OFF IN THE PT'S MOUTH. HE TRIED FEELING FOR THE NEEDLE WITHOUT ANY SUCCESS, SO A PANOREX X-RAY WAS TAKEN TO SEE WHERE THE NEEDLE WAS SITUATED IN THE JAW. PT IS SCHEDULED TO BE EVALUATED BY AN ORAL SURGEON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD PRECISIONGLIDE NEEDLE 30G X 1" HYPODERMIC NEEDLE FMI BECTON DICKINSON NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Other