BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 379782 · Received February 28, 2002

    Report

    Report Number
    379782
    Event Type
    Malfunction
    Date Received
    February 28, 2002
    Date of Event
    February 14, 2002
    Report Date
    February 28, 2002
    Manufacturer
    PATTERSON DENTAL SUPPLY
    Product Code
    EKT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CURETTE WAS BEING USED IN DENTAL PROCEDURE WHEN TIP SNAPPED OFF AND PT SWALLOWED IT. FOLLOW-UP XRAY RESULT - NOT IN PT'S LUNG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * CURETTE EKT PATTERSON DENTAL SUPPLY * PDZ7903W02

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Other