MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-03 for HANDPIECE, AIR POWERED DENTAL LUX M05L manufactured by Kavo Dental Gmbh / Kaltenbach And Voigt Gmbh.
[177883600]
Using dental handpiece and felt excess heat on handpiece during use resulting in small burn to pt's lower lip. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5092722 |
| MDR Report Key | 9665422 |
| Date Received | 2020-02-03 |
| Date of Report | 2020-01-30 |
| Date of Event | 2020-01-20 |
| Date Added to Maude | 2020-02-04 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| 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 | 3 |
| Brand Name | HANDPIECE, AIR POWERED DENTAL |
| Generic Name | HANDPIECE, AIR POWERED DENTAL |
| Product Code | EFB |
| Date Received | 2020-02-03 |
| Model Number | LUX M05L |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | KAVO DENTAL GMBH / KALTENBACH AND VOIGT GMBH |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-02-03 |