HENRY SCHEIN STANDARD NEEDLES 30GA SHORT 02N1301

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-02-01 for HENRY SCHEIN STANDARD NEEDLES 30GA SHORT 02N1301 manufactured by Sofic Sas.

Event Text Entries

[134789744] (b)(4). Initial information was received by dealer on (b)(6) 2019 from reporting dental office and forwarded to septodont on 04-jan-2019. On (b)(6) 2019, suspect device henry schein standard needles 30ga short (batch # and expiration date: not specified) reportedly broke off at the hub while in a pediatric patient's mouth. The needle involved reportedly was caught in time to be removed and the patient was not injured. Additional information is expected. Causality assessment on 29-jan-2019 on initial information received on (b)(6) 2019: seriousness: serious (required intervention to prevent permanent impairment/damage (devices)). Expectedness: device breakage: unexpected us/ca. Causality: latency - compatible, recognized association - no, analysis - this case reported a break at the hub of the suspected device henry schein standard needles 30ga short, requiring dentist intervention to remove the broken part. The possible causes of broken needle may result from: involuntary sudden movement of the patient, especially because it is a paediatric patient; involuntary movement or mishandling of the dentist during injection; the use of a needle size inappropriate to the type of procedure; unexpected contact with hard tissues (e. G. Bone); excessive bending of the needle before use or during use by the dentist; excessive pressure leading to a break of the needle; quality defect of the needles; the method used for the anaesthesia and the dental procedure are not specified. Since this case is poorly documented, no sufficient information is provided to explain the broke of the needle at the hub in the patient's mouth. Investigation tests are pending. Therefore, due to the lack of data, this case is considered as not assessable. Dechallenge - na, rechallenge - na, concluded causality who: not assessable.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001721729-2019-00001
MDR Report Key8298600
Date Received2019-02-01
Date of Report2019-05-02
Date of Event2019-01-02
Date Facility Aware2019-01-04
Report Date2019-03-12
Date Reported to FDA2019-03-12
Date Reported to Mfgr2019-04-04
Date Added to Maude2019-02-01
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHENRY SCHEIN STANDARD NEEDLES 30GA SHORT
Generic NameHENRY SCHEIN DENTAL NEEDLE
Product CodeDZM
Date Received2019-02-01
Catalog Number02N1301
Lot NumberNOT PROVIDED
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerSOFIC SAS
Manufacturer Address3, RUE JEAN-JACQUES ROUSSEAU AUSSILLON MAZAMET CEDEX, 81207 FR 81207


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-02-01

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