MAUDE Adverse Event Report: SIRONA DENTAL SYSTEMS GMBH T1 CLASSIC S 200 L; HANDPIECE, BELT AND/OR GEAR DRIVEN, DENTAL

Catalog Number 5898866

Device Problem Overheating of Device (1437)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Type  malfunction  

Manufacturer Narrative

We are awaiting the return of 1 device.This event is being submitted as part of vmsr.Only one event was received for this device during this quarter.

Event Description

This report summarizes 1 malfunction event where a t1 classic s 200 l handpiece overheated.The 1 event resulted in no injury.

• Brand Name: T1 CLASSIC S 200 L
• Type of Device: HANDPIECE, BELT AND/OR GEAR DRIVEN, 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: 18556641
• MDR Text Key: 333515375
• Report Number: 9614977-2023-00050
• Device Sequence Number: 1
• Product Code: EFA
• UDI-Device Identifier: E27658988660
• UDI-Public: E27658988660
• Combination Product (y/n): N
• PMA/PMN Number: K965238
• Number of Events Reported: 1
• Summary Report (Y/N): Y
• Report Source: Manufacturer
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 01/15/2024

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: 5898866
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 01/22/2024
• Patient Sequence Number: 1