*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2002-02-28 for * manufactured by Patterson Dental Supply.

Event Text Entries

[254929] Curette was being used in dental procedure when tip snapped off and pt swallowed it. Follow-up xray result - not in pt's lung.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: 379782
• MDR Report Key: 379782
• Date Received: 2002-02-28
• Date of Report: 2002-02-28
• Date of Event: 2002-02-14
• Date Facility Aware: 2002-02-14
• Report Date: 2002-02-28
• Date Added to Maude: 2002-03-07
• Event Key: 0
• Report Source Code: User Facility report
• Manufacturer Link: N
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 0
• Reporter Occupation: RISK MANAGER
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 3
• Event Location: 3
• Single Use: 0
• Previous Use Code: 0
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: *
• Generic Name: CURETTE
• Product Code: EKT
• Date Received: 2002-02-28
• Model Number: *
• Catalog Number: *
• Lot Number: PDZ7903W02
• ID Number: *
• Operator: HEALTH PROFESSIONAL
• Device Availability: Y
• Device Age: UNKNOWN
• Implant Flag: N
• Date Removed: *
• Device Sequence No: 1
• Device Event Key: 368809
• Manufacturer: PATTERSON DENTAL SUPPLY
• Manufacturer Address: 1031 MENDOTA HEIGHTS RD SAINT PAUL MN 55210 US

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Other	2002-02-28