FDA Adverse Event Other Summary report: N

SURGITOME E HANDPIECE

MDR report key: 425731 · Received October 31, 2002

Report

Report Number
1017294-2002-00087
Event Type
Other
Date Received
October 31, 2002
Date of Event
October 11, 2002
Report Date
October 11, 2002
Manufacturer
LINVATEC CORP.
Product Code
DZI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT IS ALLEGED THE DEVICE BECAME HOT WHILE IN USE. THE PT RECEIVED A BURN ON THE LOWER LIP, NO MEDICAL INTERVENTION WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SURGITOME E HANDPIECE DRILL DZI LINVATEC CORP. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN