FDA Adverse Event Other Summary report: N

MICROCHOICE MEDIUM BUR GUARD

MDR report key: 841335 · Received April 19, 2007

Report

Report Number
1017294-2007-00205
Event Type
Other
Date Received
April 19, 2007
Date of Event
March 20, 2007
Report Date
March 20, 2007
Manufacturer
CONMED LINVATEC
Product Code
EQJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION RESULTS: THE BUR GUARD WAS RECEIVED FOR EVALUATION. THE INVESTIGATION OF THIS BUR GUARD FOUND THAT IT MET ALL TESTING SPECIFICATIONS. NO FAULT WAS FOUND WITH THIS DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THIS BUR GUARD WAS IN USE, A DRILL THAT OVERHEATED DURING ORAL SURGERY, RESULTING IN A BURN TO THE PATIENT'S LIP. ANTIBIOTIC OINTMENT AND A WET GAUZE WAS APPLIED TO TREAT THE AFFECTED AREA. TO DATE, IT IS UNKNOWN IF FURTHER TREATMENT IS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICROCHOICE MEDIUM BUR GUARD BUR GUARD EQJ CONMED LINVATEC NA JAN07S

Patients

Seq Age Sex Outcome Treatment
1 35 YR Other| R CATALOG NUMBER: 5020025L, MICROCHOICE HIGH SPEED| DRILL LOANER