FDA Adverse Event Injury Summary report: N

DENTAL DRILL

MDR report key: 5127479 · Received September 29, 2015

Report

Report Number
MW5056816
Event Type
Injury
Date Received
September 29, 2015
Date of Event
September 29, 2015
Report Date
September 29, 2015
Manufacturer
UNK
Product Code
DZP
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
NC, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

I WAS BURNED BY THE METAL DENTAL DRILL DURING A PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
642454 DENTAL DRILL DENTAL DRILL DZP UNK

Patients

Seq Age Sex Outcome Treatment
1 33 YR