FDA Adverse Event
Other
Summary report: N
OSTEOMED
MDR report key: 330487
·
Received May 8, 2001
Report
- Report Number
- MW1021813
- Event Type
- Other
- Date Received
- May 8, 2001
- Date of Event
- April 24, 2001
- Report Date
- May 8, 2001
- Manufacturer
- OSTEOMED CORP
- Product Code
- HTW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- DENTIST
Narratives
Description of Event or Problem · 1
DEVICE HAS A STRAIGHT DRILL WITH A BUR GUARD ATTACHMENT WHICH HAS A BALL BEARING IN IT. THE BALL BEARING OVERHEATED AS DR WAS DRILLING INTO THE BONE. BUR GUARD WAS AGAINST PT'S LIP AND PT SUSTAINED A BURN WHICH APPEARED TO BE THIRD DEGREE. PRIMARY ESCHAR REMOVAL DONE WITH A PRIMARY CLOSURE. MFR NOTIFIED. SALES REP SAW DEVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 21036 | OSTEOMED | SURGICAL HANDPIECE, DRILL | HTW | OSTEOMED CORP | * | * | |
| 21080 | OSTEOMED | SURGICAL HANDPIECE, BUR GUARD | HTW | OSTEOMED CORP | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 19 YR | Other |