BEUDAMED
    FDA Adverse Event Other Summary report: N

    SUPER-DENT DENTAL NEEDLE

    MDR report key: 371074 · Received January 10, 2002

    Report

    Report Number
    1412902-2002-00002
    Event Type
    Other
    Date Received
    January 10, 2002
    Report Date
    January 8, 2002
    Manufacturer
    MPL TECHNOLOGIES
    Product Code
    DZM
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    THE NEEDLE BROKE OFF WHILE THE DOCTOR WAS GIVING A BLOCK INJECTION. THEY WERE UNABLE TO REMOVE IT SO THE PT WAS SENT TO AN ORAL SURGEON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUPER-DENT DENTAL NEEDLE DENTAL NEEDLE DZM MPL TECHNOLOGIES 30G SHORT 13368

    Patients

    Seq Age Sex Outcome Treatment
    1 5 YR Required Intervention