FDA Adverse Event Malfunction Summary report: N

VDW.SILVER RECIPROC

MDR report key: 24036218 · Received January 12, 2026

Report

Report Number
9611053-2026-00008
Event Type
Malfunction
Date Received
January 12, 2026
Report Date
April 21, 2026
Manufacturer
VDW GMBH
Product Code
EBW
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THERE HAS BEEN A PREVIOUS REPORT RECEIVED WHERE THIS MALFUNCTION RESULTED IN A SERIOUS INJURY. THEREFORE, IT MUST BE PRESUMED THAT RECURRENCE OF THIS MALFUNCTION COULD POSSIBLY CAUSE OR CONTRIBUTE TO A SERIOUS INJURY OR REQUIRE MEDICAL OR SURGICAL INTERVENTION TO PRECLUDE SUCH. AS SUCH, THIS EVENT IS REPORTABLE PER 21 CFR PART 803. THE DEVICE IS AVAILABLE FOR EVALUATION, THOUGH HAS NOT BEEN RETURNED AS OF THIS REPORT. EVALUATION RESULTS WILL BE SUBMITTED AS THEY BECOME AVAILABLE.

Additional Manufacturer Narrative · 0

SIROFORCE NO. 8001368662: PROVIDED ACCESSORIES: CHARGING UNIT (30120-0174560), CONTRA ANGLE (55291), MICRO MOTOR WITH CABLE (SMR2386867), FOOT CONTROL (220567). DIAGNOSIS: BATTERY DEFECT (H:4:30:19, S:489, F:262: DEVICE WAS CHARGED 489X. ENOUGH WOULD HAVE BEEN 3X: BATTERY OVERCHARGED, MISUSE). NEEDED SERVICE FOR REPAIR: VR01103000900 BATTERY RECYCKO 1.000. SF2 SERVICE FEE 2 1.000 . ALL COMPLAINTS ARE MONITORED THROUGH THE MONTHLY PRODUCT SURVEILLANCE COMMITTEE AND A CORRECTIVE ACTION COULD BE DETERMINED BY THE COMMITTEE.

Description of Event or Problem · 0

IN THIS EVENT IT IS REPORTED THAT A VDW.SILVER RECIPROC STOPPED OFTEN DURING TREATMENT. NO INJURY OCCURRED. WE DO NOT KNOW EXACTLY HOW MANY PATIENTS ARE AFFECTED, THEREFORE WE HAVE CREATED ANOTHER CASE FOR THIS EVENT. CASE 2 OF 2.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
299634 VDW.SILVER RECIPROC CONTROLLER, FOOT, HANDPIECE AND CORD EBW VDW GMBH

Patients

Seq Age Sex Outcome Treatment
1