BEUDAMED
    FDA Adverse Event Other Summary report: N

    ULTRASONIC SCALER I DO NOT KNOW THE BRAND NAME

    MDR report key: 743068 · Received June 8, 2005

    Report

    Report Number
    MW1035715
    Event Type
    Other
    Date Received
    June 8, 2005
    Date of Event
    November 23, 2004
    Report Date
    June 8, 2005
    Manufacturer
    *
    Product Code
    ELC
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    GUM TISSUE BURN ULTRASONIC SCALER. SUNBURN -LIKE TISSUE DEEP, RED, PERMANENT DAMAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ULTRASONIC SCALER I DO NOT KNOW THE BRAND NAME * ELC * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Other