FDA Adverse Event Malfunction Summary report: Y

MIDWEST ENERGO 1:5

MDR report key: 24964054 · Received April 23, 2026

Report

Report Number
9614977-2026-00014
Event Type
Malfunction
Date Received
April 23, 2026
Report Date
April 28, 2026
Manufacturer
SIRONA DENTAL SYSTEMS GMBH
Product Code
EFB
UDI-DI
E27668197960
PMA / PMN Number
K972436
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION RECEIVED THAT WE HAVE BECOME AWARE OF A MIDWEST ENERGO 1:5 DENTAL HANDPIECE CATALOG # 875315 SERIAL # (B)(6) THAT HAS OVERHEATED AND NO INJURY OCCURRED FROM THE ALLEGED EVENT. 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

ADDITIONAL SERIAL NUMBERS INCLUDED IN THIS REPORT: (B)(6). 17 OF 17 DEVICES WERE RETURNED FOR EVALUATION. EVALUATION OF FIVE DEVICES FOUND EXCESSIVE WEAR DUE TO A LACK OF PROPER MAINTENANCE. THE DEVICES DID NOT HEAT UP DURING EVALUATION. THE DEVICES WERE REPAIRED AND RETURNED TO THE CUSTOMERS. EVALUATION OF ONE DEVICE FOUND EXCESSIVE WEAR DUE TO A LACK OF PROPER MAINTENANCE. THIS DEVICE HAD A DEFORMATION ISSUE (DENT). THE DEVICE DID NOT HEAT UP DURING EVALUATION. THE DEVICE WAS REPAIRED AND RETURNED TO THE CUSTOMER EVALUATION OF TWO DEVICES FOUND EXCESSIVE WEAR DUE TO A LACK OF PROPER MAINTENANCE. A FRICTION PROBLEM WAS IDENTIFIED FROM PRESSURE ON THE CAP. THE DEVICES DID NOT HEAT UP DURING EVALUATION. THE DEVICES WERE REPAIRED AND RETURNED TO THE CUSTOMERS. EVALUATION OF FIVE DEVICES FOUND EXCESSIVE WEAR DUE TO A LACK OF PROPER MAINTENANCE. THE DEVICES DID HEAT UP DURING EVALUATION. THE DEVICES WERE REPAIRED AND RETURNED TO THE CUSTOMERS. EVALUATION OF TWO DEVICES FOUND EXCESSIVE WEAR DUE TO A LACK OF PROPER MAINTENANCE. A FRICTION PROBLEM WAS IDENTIFIED FROM PRESSURE ON THE CAP. THE DEVICES DID HEAT UP DURING EVALUATION. THE DEVICES WERE REPAIRED AND RETURNED TO THE CUSTOMERS. EVALUATION OF TWO DEVICES FOUND EXCESSIVE WEAR DUE TO A LACK OF PROPER MAINTENANCE. THE DEVICES HAD DEBRIS BUILD-UP. THE DEVICES DID NOT HEAT UP DURING EVALUATION. THE DEVICES WERE REPAIRED AND RETURNED TO THE CUSTOMERS.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 17 MALFUNCTION EVENTS WHERE MIDWEST ENERGO 1:5 HANDPIECES OVERHEATED. 16 EVENTS RESULTED IN NO INJURY. 1 EVENT RESULTED IN PATIENT BEING SLIGHTLY BURNED WITH NO INTERVENTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
499175 MIDWEST ENERGO 1:5 HANDPIECE, AIR-POWERED, DENTAL EFB SIRONA DENTAL SYSTEMS GMBH E27668197960

Patients

Seq Age Sex Outcome Treatment
1