FDA Adverse Event Malfunction Summary report: N

SS WHITE CARBIDE BUR

MDR report key: 23610016 · Received November 20, 2025

Report

Report Number
2245654-2025-00014
Event Type
Malfunction
Date Received
November 20, 2025
Report Date
November 20, 2025
Manufacturer
SS WHITE BURS LLC
Product Code
EJL
UDI-DI
D690133302
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

AN INVESTIGATION WAS CONDUCTED ON PRODUCT FROM THE SAME LOT AS THE REPORTED DEVICE WAS RETRIEVED AND EVALUATED. DIMENSIONAL INSPECTION CONFIRMED THAT THE SHANK DIAMETERS WERE WITHIN SPECIFICATIONS AND MET ALL APPLICABLE ACCEPTANCE CRITERIA. BASED ON THE AVAILABLE INFORMATION, A DEFINITIVE ROOT CAUSE IS UNKNOWN.

Description of Event or Problem · 0

SS WHITE WAS MADE AWARE ON OCTOBER 23, 2025, THAT DURING A DENTAL PROCEDURE THAT WAS PERFORMED ON AN UNKNOWN DATE, THE DENTIST STATED THAT THE CARBIDE BUR THAT WAS USED (FG330) WAS "LOOSE AND SLIPPING". WHILE THE DENTIST WAS USING THIS BUR ON THE PATIENT, THE BUR SLIPPED DOWN THE PATIENT'S THROAT AND THE PATIENT HAD TO HAVE X-RAYS DONE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314365 SS WHITE CARBIDE BUR DENTAL BUR EJL SS WHITE BURS LLC FG-PBUR-330 L05I D690133302

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other