SILHOUETTE CMU-D 2650F

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-03-25 for SILHOUETTE CMU-D 2650F manufactured by Dentalez Group.

Event Text Entries

[1484865] The product in question has an ongoing history from the first year of purchase/use -2007 & 2007- to present. The dental equipment is mfg by dentalez group located in (b) (4). The equipment is corroding, rusting, peeling and breaking apart after just three years of moderate clinical use. My concern is that it is not known whether these materials are safe to my pts, staff or myself since i am not familiar with the reaction of this equipment to normal clinical use as it follows a pattern of unusual wear and tear in such a short period time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5015312
MDR Report Key1647151
Date Received2010-03-25
Date of Report2010-03-25
Date Added to Maude2010-04-05
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationDENTIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameSILHOUETTE
Generic NameDENTALEZ DENTAL CHAIR
Product CodeNRU
Date Received2010-03-25
Model NumberCMU-D 2650F
Lot NumberAE 1565
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerDENTALEZ GROUP
Manufacturer Address2950 HIGHWAY 31 SOUTH BAY MINETTE AL 36507 US 36507

Device Sequence Number: 2

Brand NameSILHOUETTE
Generic NameDELIVERY UNIT
Product CodeNRU
Date Received2010-03-25
Model NumberCMU. 2431F
Lot NumberAE 1653
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No2
Device Event Key0
ManufacturerDENTALEZ GROUP
Manufacturer Address2950 HIGHWAY 31 SOUTH BAY MINETTE AL 36507 US 36507


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2010-03-25

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