FDA Adverse Event Other Summary report: N

MICRO 100 DRILL

MDR report key: 247939 · Received October 22, 1999

Report

Report Number
1017294-1999-00045
Event Type
Other
Date Received
October 22, 1999
Date of Event
September 13, 1999
Report Date
September 14, 1999
Manufacturer
LINVATEC CORP.
Product Code
DZI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

DURING A MAXILLOFACIAL REPAIR THE BUR GUARD BECAME WARM AND THEN HOT. THE HANDPIECE DID NOT GET HOT. 'THE BUR GUARD BEARINGS BECAME WORN, COULD NOT RULE OUT OPERATOR ERROR.' MOUTH GAG WAS BEING USED. MINOR BURN TO INSIDE OF CHEEK 1/2 X 1 1/2 CM AND TO CENTER BOTTOM LIP <1 CM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRO 100 DRILL DRILL DZI LINVATEC CORP. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other