FDA Adverse Event Other Summary report: N

STRYKER

MDR report key: 491880 · Received October 17, 2003

Report

Report Number
491880
Event Type
Other
Date Received
October 17, 2003
Date of Event
May 1, 2003
Report Date
June 1, 2003
Manufacturer
STRYKER INSTRUMENTS
Product Code
EFA
Report Source
User Facility report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

UPON REMOVAL OF A TOOTH DURING A DENTAL EXTRACTION IT WAS NOTED THAT THERE WAS A DEFECT IN THE STRYKER HANDPIECE. A SMALL PORTION OF THE HANDPIECE HAS HEATED UP AND BURNED THE PT'S LOWER LIP IN 2 DISTINCT SPOTS. THE OPERATING ROOM STAFF NOTED 2 REDDENED AREAS. ONE AREA WAS ON THE LIP AND ONE WAS BELOW THE LIP ON THE CHIN. NO BLISTERING WAS REPORTED. THE SIZE OF THE BURNS IS UNK. THE BURNS WERE TREATED WITH SILVADENE AND DIPROLENE .5% OINTMENT AND THE LIP IS REPORTEDLY HEALING. THE PT LATER REPORTED HAVING GONE TO A SECOND PHYSICIAN, A PLASTIC SURGEON, WHO GAVE A SECOND OPINION STATING THE BURN AS "THIRD DEGREE". THE BURN IS BELIEVED TO BE A THERMAL BURN CAUSED BY HEAT GENERATION OF THE MOTOR IN THE HANDPIECE. NO SHORTS IN THE CORD WERE FOUND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRYKER HANDPIECE EFA STRYKER INSTRUMENTS 5100-100 *

Patients

Seq Age Sex Outcome Treatment
1 35 YR Other