MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-09-12 for CARBIDE BUR - DENTAL SSW HP-702 manufactured by Ss White Burs Inc..
[120264353]
Pt for elective dental extractions; during surgical procedure, tip of surgical bur broke.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5079777 |
| MDR Report Key | 7872611 |
| Date Received | 2018-09-12 |
| Date of Report | 2018-09-11 |
| Date of Event | 2018-09-05 |
| Date Added to Maude | 2018-09-13 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | CARBIDE BUR - DENTAL |
| Generic Name | BUR-DENTAL |
| Product Code | EJL |
| Date Received | 2018-09-12 |
| Catalog Number | SSW HP-702 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SS WHITE BURS INC. |
| Manufacturer Address | LAKEWOOD NJ 08701 US 08701 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2018-09-12 |