DENTAL BUR DIAMOND

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-11 for DENTAL BUR DIAMOND manufactured by Unk.

Event Text Entries

[179299142] Same day surgery had 2 of the fg878 dental burs break during two separate cases. Both pieces on both cases were recovered. No harm.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092951
MDR Report Key9699783
Date Received2020-02-11
Date of Report2020-01-23
Date of Event2020-01-22
Date Added to Maude2020-02-12
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameDENTAL BUR DIAMOND
Generic NameBUR, DENTAL
Product CodeEJL
Date Received2020-02-11
Lot Number1603914
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK

Device Sequence Number: 2

Brand NameDENTAL BUR DIAMOND
Generic NameBUR, DENTAL
Product CodeEJL
Date Received2020-02-11
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-11

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