MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-01 for DIAMOND BUR manufactured by Unk.
[140800526]
Pt was having dental procedure when diamond bur lead came off and required intervention by staff to avoid swallowing of bur. (b)(6).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5085511 |
| MDR Report Key | 8474017 |
| Date Received | 2019-04-01 |
| Date of Report | 2019-03-28 |
| Date of Event | 2019-03-07 |
| Date Added to Maude | 2019-04-02 |
| 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 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| 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 | DIAMOND BUR |
| Generic Name | DENTAL INSTRUMENT, DIAMOND |
| Product Code | DZP |
| Date Received | 2019-04-01 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | UNK |
| Manufacturer Address | UNK UNK |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-04-01 |