FDA Adverse Event Injury Summary report: N

SANAO

MDR report key: 4693912 · Received March 20, 2015

Report

Report Number
2529090-2015-19942
Event Type
Injury
Date Received
March 20, 2015
Date of Event
February 18, 2015
Report Date
February 18, 2015
Manufacturer
SCICAN GMBH
Product Code
EGS
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
MI, US
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

DURING A DENTAL PROCEDURE ON A PATIENT USING THE SANAO CONTRA ANGLE DENTAL HANDPIECE, THE DENTIST NOTICED THAT THE PATIENTS TONGUE WAS WHITE AND ASSUMED THAT IT WAS TOOTH DUST THE PATIENT COMPLAINED DURING PROCEDURE. PATIENT RETURNED TO THE OFFICE TO COMPLAIN LATER IN THE DAY AFTER THE ANESTHETIC WORE OFF. THE INCIDENT OCCURRED THURSDAY (B)(6) 2015. THE PATIENT WENT TO A PHYSICIAN ON (B)(6) 2015 AND WAS PRESCRIBED PENICILLIN. ACCORDING TO AN E-MAIL FROM THE DEALER, (B)(4), TO THE IMPORTER, SCICAN INC., THE PATIENT IS DOING FINE. THE FOLLOWING SAFETY INFORMATION HAS BEEN PROVIDED IN THE IFU WITH REGARD TO THE USE OF ELECTRIC MICRO-MOTORS: "RISKS WHEN USING HANDPIECES WITH ELECTRICAL MICRO-MOTORS. ELECTRICAL MICRO-MOTORS GENERATE SIGNIFICANTLY MORE ENERGY THAN CONVENTIONAL AIR TURBINES AND AIR MOTORS. DUE TO THE HIGH TORQUES AND SPEEDS, POORLY SERVICED, DAMAGED OR MISUSED HANDPIECES MAY LEAD TO OVERHEATING WHICH COULD INFLICT SEVERE BURNS ON THE PATIENT. " MFR REF# 3006028656-2015-00923.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
190571 SANAO HANDPIECE, ATTACHMENT, DENTAL EGS SCICAN GMBH S20100

Patients

Seq Age Sex Outcome Treatment
1 37 YR Required Intervention