BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DIAMOND BUR

    MDR report key: 8474017 · Received April 1, 2019

    Report

    Report Number
    MW5085511
    Event Type
    Injury
    Date Received
    April 1, 2019
    Date of Event
    March 7, 2019
    Report Date
    March 28, 2019
    Manufacturer
    UNK
    Product Code
    DZP
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT WAS HAVING DENTAL PROCEDURE WHEN DIAMOND BUR LEAD CAME OFF AND REQUIRED INTERVENTION BY STAFF TO AVOID SWALLOWING OF BUR. (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    262322 DIAMOND BUR DENTAL INSTRUMENT, DIAMOND DZP UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Required Intervention