FDA Adverse Event
Malfunction
Summary report: N
30G SHORT PLASTIC HUB
MDR report key: 411560
·
Received August 13, 2002
Report
- Report Number
- 1412902-2002-00037
- Event Type
- Malfunction
- Date Received
- August 13, 2002
- Date of Event
- June 11, 2002
- Report Date
- August 13, 2002
- Manufacturer
- MPL TECHNOLOGIES
- Product Code
- DZM
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MS, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
NEEDLE BROKE OFF IN THE MANDIBLE WHILE DR WAS GIVING A LEFT INFERIOR ALVEOLAR BLOCK.
Description of Event or Problem · 1
NEEDLE BROKE OFF IN PATIENT'S CHEEK AND REQUIRED MEDICAL SERVICES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 30G SHORT PLASTIC HUB | NEEDLE | DZM | MPL TECHNOLOGIES | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |