BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DENT X

    MDR report key: 829338 · Received March 16, 2007

    Report

    Report Number
    MW1042254
    Event Type
    Injury
    Date Received
    March 16, 2007
    Date of Event
    March 2, 2007
    Report Date
    March 9, 2007
    Manufacturer
    MOHAWK DENTAL SUPPLY CO., INC.
    Product Code
    EGY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ACCORDING TO THE FIRE DEPT. INVESTIGATORS, AN ELECTRICAL MALFUNCTION IN A DENTAL X-RAY PROCESSING MACHINE CAUSED THE WIRING WITHIN THE MACHINE TO OVERHEAT. THIS OVERHEATED WIRING IGNITED PART OF THE MACHINE AND NEARBY COMBUSTIBLES. THE X-RAY PROCESSING MACHINE WAS A DENT X 810 PROCESSOR MACHINE, INSTALLED BY MOHAWK DENTAL SUPPLY CO. ON 10/24/05. THE ROOM THE EQUIPMENT WAS LOCATED IN WAS CONSUMED BY EXTENSIVE FIRE DAMAGE. SMOKE FROM THE FIRE EXTENDED TO OTHER AREAS IN THE BUILDING AND WAS DIFFICULT TO VENTILATE, NEARLY REQUIRED EVACUATION OF THE ATTACHED NURSING FACILITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DENT X FILM PROCESSOR EGY MOHAWK DENTAL SUPPLY CO., INC. 810 PROCESSOR MACH *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Life Threatening| O