3M TRUE DEFINITION SCANNER 78052

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2016-12-21 for 3M TRUE DEFINITION SCANNER 78052 manufactured by 3m Espe Dental Products.

Event Text Entries

[63054605] After the tingling sensation was experienced, the true definition scanner system was unplugged from the electrical outlet and the scan was continued using battery power. No sensation was experienced during the scan using battery power. 3m has requested that the entire true definition scanner unit be returned for testing to ensure the product is operating in specification. 3m is still waiting to receive this unit back. It is anticipated that an electrical site assessment will be conducted at the uk dental office. If any further information becomes available 3m will file a follow-up report.
Patient Sequence No: 1, Text Type: N, H10


[63054606] On (b)(6) 2016, 3m was notified that a female subject experienced an electrical sensation during a demonstration scanning procedure using the 3m true definition scanner. The subject felt a tingling sensation on lower tooth #2 and #3 and scanning was immediately stopped. No patient injury occurred.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005174370-2016-00154
MDR Report Key6196478
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2016-12-21
Date of Report2016-11-23
Date of Event2016-11-14
Date Mfgr Received2016-11-23
Date Added to Maude2016-12-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationSERVICE PERSONNEL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactANGIE DRAPER
Manufacturer Street2510 CONWAY AVENUE
Manufacturer CityST. PAUL MN 551441000
Manufacturer CountryUS
Manufacturer Postal551441000
Manufacturer Phone6517331179
Manufacturer G13M ESPE DENTAL PRODUCTS
Manufacturer Street2510 CONWAY AVENUE
Manufacturer CityST. PAUL MN 551441000
Manufacturer CountryUS
Manufacturer Postal Code551441000
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name3M TRUE DEFINITION SCANNER
Generic NameSYSTEM,OPTICAL IMPRESSION, COMPUTER ASSISTED DESIGN AND MANUFACTURING (CAD/CAM)
Product CodeNOF
Date Received2016-12-21
Catalog Number78052
OperatorSERVICE PERSONNEL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
Manufacturer3M ESPE DENTAL PRODUCTS
Manufacturer Address2510 CONWAY AVENUE ST. PAUL MN 551441000 US 551441000


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-12-21

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