BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HALL MICRO CHOICE HIGH SPEED DRILL

    MDR report key: 99569 · Received June 19, 1997

    Report

    Report Number
    33458-1997-00004
    Event Type
    Injury
    Date Received
    June 19, 1997
    Date of Event
    June 9, 1997
    Report Date
    June 17, 1997
    Manufacturer
    LINVATEC
    Product Code
    DZI
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    WI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DURING A PROCEDURE TO REMOVE 2 LOWER WISDOM TEETH, THE MICRO CHOICE HIGH SPEED DRILL, 5020-025, WITH MEDIUM BURR GUARD, 5020-060, SN OCT 96 OVERHEATED CAUSING A BURN APPROX 2 X 1 CM TO THE PTS LOWER LIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HALL MICRO CHOICE HIGH SPEED DRILL DRILL DZI LINVATEC NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention