CURRETTE SG1/26

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-07-07 for CURRETTE SG1/26 manufactured by Hu-friedy.

Event Text Entries

[79752567] Shank of anterior currette broke when activating on the lingual of #26. I heard a "pop" noise and saw the portion of the currette on the distal of soft palate. I instructed pt not to swallow and attempted to use hve to remove. I lost sight of the currette tip, immediately set pt up in the chair and got the doctor. Pt did not detect any foreign object in his mouth. He was coughing to attempt to cough it out. Checked trap and it was clean. Pt was instructed to have chest x-ray with his physician. He was advised there is a concern if the instrument tip entered his airway/lungs.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5070886
MDR Report Key6700764
Date Received2017-07-07
Date of Report2017-07-07
Date of Event2017-06-30
Date Added to Maude2017-07-11
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCURRETTE
Generic NameCURRETTE
Product CodeHTF
Date Received2017-07-07
Returned To Mfg2017-07-07
Model NumberSG1/26
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerHU-FRIEDY
Manufacturer AddressCHICAGO IL 60618 US 60618


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-07-07

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