MAUDE Adverse Event Report: SIRONA DENTAL SYSTEMS GMBH MIDWEST E MINI 1:5 HIGH SPEED CONTRA ANGLE ATTACHMENT; HANDPIECE, AIR-POWERED, DENTAL

Catalog Number 875101

Device Problem Overheating of Device (1437)

Patient Problems Burn(s) (1757); No Clinical Signs, Symptoms or Conditions (4582)

Event Type  malfunction  

Manufacturer Narrative

Additional serial numbers included in this report: (b)(6).(b)(6).6 of 6 devices were returned for evaluation.Evaluation of three devices found excessive wear due to a lack of proper maintenance.The devices did not heat up during evaluation.The devices were repaired and returned to the customer.Evaluation of two devices found excessive wear due to a lack of proper maintenance and a friction problem was identified from pressure on the cap.The devices did not heat up during evaluation.The device were repaired and returned to the customer.Evaluation of one device found excessive wear due to a lack of proper maintenance.A friction problem was identified from pressure on the cap.The device had debris build-up.The device did not heat up during evaluation.The device was repaired and returned to the customer.

Event Description

This report summarizes 6 malfunction events where a midwest e mini 1:5 high speed contra angle attachment overheated.5 events resulted in no injury.1 event resulted in the doctor being slightly burned with rx prescribed.

• Brand Name: MIDWEST E MINI 1:5 HIGH SPEED CONTRA ANGLE ATTACHMENT
• Type of Device: HANDPIECE, AIR-POWERED, DENTAL
• Manufacturer (Section D): SIRONA DENTAL SYSTEMS GMBH; fabrikstrasse 31; bensheim, hessen D-646 25; GM D-64625
• Manufacturer (Section G): SIRONA DENTAL SYSTEMS GMBH; fabrikstrasse 31; bensheim, hessen D-646 25; GM D-64625
• Manufacturer Contact: hannah seevaratnam ; 221 w. philadelphia st.; york, PA 17401 ; 7178494593
• MDR Report Key: 17979290
• MDR Text Key: 326194144
• Report Number: 9614977-2023-00039
• Device Sequence Number: 1
• Product Code: EFB
• Combination Product (y/n): N
• PMA/PMN Number: K972436
• Number of Events Reported: 6
• Summary Report (Y/N): Y
• Report Source: Manufacturer
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 10/18/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Catalogue Number: 875101
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 10/20/2023
• Patient Sequence Number: 1