BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PELTON CRANE AIR WATER SYRINGE

    MDR report key: 333049 · Received May 14, 2001

    Report

    Report Number
    MW1021883
    Event Type
    Injury
    Date Received
    May 14, 2001
    Date of Event
    July 1, 1999
    Manufacturer
    PELTON & CRANE CO
    Product Code
    EIB
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    RPTR TOOK CARE OF A PT WHO HAD A BRAIN ABSCESS DUE TO S. VIRIDANS. ABOUT 6 WEEKS BEFORE THE BRAIN ABSCESS MANIFESTED ITSELF, PT HAD BEEN TO DENTIST FOR A CLEANING. WHEN RPTR MADE THE DIAGNOSIS, THEY COMMENTED TO THE PT AND FAMILY THAT THE ORGANISM IDENTIFIED WAS TYPICAL MOUTH FLORA AND THAT DENTAL CLEANING WAS A KNOWN PRECEDING EVENT ASSOCIATED WITH BRAIN ABSCESS. THE PT AND FAMILY HAVE SEEN A TELEVISION REPORT OF BRAIN ABSCESS ASSOCIATED WITH THE EQUIPMENT REFERENCED ABOVE. THEY CALLED THE DENTIST, AND, INDEED, THIS IS THE TOOL HE USED TO CLEAN PT'S TEETH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    22620 PELTON CRANE AIR WATER SYRINGE AIR WATER SYRINGE EIB PELTON & CRANE CO NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO