BEUDAMED
    FDA Adverse Event Other Summary report: N

    430 SWL DENTAL HANDPIECE (LESS SWIVEL)

    MDR report key: 47594 · Received November 8, 1996

    Report

    Report Number
    2520265-1996-00014
    Event Type
    Other
    Date Received
    November 8, 1996
    Date of Event
    September 3, 1996
    Report Date
    November 8, 1996
    Manufacturer
    DEN-TAL-EZ, INC
    Product Code
    EFB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    THE DENTIST BURNED THE INSIDE OF A PT'S CHEEK WHILE DOING A ROUTINE CROWN. NO MEDICAL TREATMENT REQUIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 430 SWL DENTAL HANDPIECE (LESS SWIVEL) AIR-POWERED DENTAL HANDPIECE EFB DEN-TAL-EZ, INC 261307 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other