BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STAR DENTAL HANDPIECE

    MDR report key: 6541143 · Received May 1, 2017

    Report

    Report Number
    MW5069530
    Event Type
    Injury
    Date Received
    May 1, 2017
    Date of Event
    April 19, 2017
    Report Date
    May 1, 2017
    Manufacturer
    STAR DENTAL
    Product Code
    EJH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    DENTIST WAS USING HANDPIECE WHEN SHE NOTICED THAT BURR WAS WOBBLING AND ULTIMATELY CAME OUT OF THE HANDPIECE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    315475 STAR DENTAL HANDPIECE ALLOY, METAL, BASE EJH STAR DENTAL 430 SW

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Required Intervention