BEUDAMED
    FDA Adverse Event Injury Summary report: N

    METAL HUB NEEDLE

    MDR report key: 307977 · Received December 7, 2000

    Report

    Report Number
    1412902-2000-00006
    Event Type
    Injury
    Date Received
    December 7, 2000
    Date of Event
    August 28, 1998
    Report Date
    November 5, 2000
    Manufacturer
    MPL TECHNOLOGIES
    Product Code
    DZM
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    WHILE PERFORMING A ROUTINE INFERIOR ALVEOLAR LEFT SIDE BLOCK THE NEEDLE BROKE OFF AT THE METAL HUB. THIS REQUIRED TREATMENT AT AN ORAL SURGERY OFFICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 METAL HUB NEEDLE DISPOSABLE DENTAL NEEDLE DZM MPL TECHNOLOGIES THIRTY SHORT 12878

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention