Brand Name | BRASSELER BRIO 450L |
Type of Device | HANDPIECE |
Manufacturer (Section D) |
TTBIO CORP. |
2f., no.7, 6th road |
industry park |
taichung, 40755 |
TW 40755 |
|
Manufacturer (Section G) |
TTBIO CORP. |
2f., no.7, 6th road |
industry park |
taichung, 40755 |
TW
40755
|
|
Manufacturer Contact |
jun li
|
2f., no.7, 6th road |
industry park |
taichung, 40755
|
|
MDR Report Key | 19030093 |
MDR Text Key | 339219823 |
Report Number | 3010364969-2024-00004 |
Device Sequence Number | 1 |
Product Code |
EFB
|
UDI-Device Identifier | 00887919872283 |
UDI-Public | 0100887919872283 |
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Distributor |
Reporter Occupation |
Dentist
|
Type of Report
| Initial |
Report Date |
04/03/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Model Number | BRIO 450L |
Device Catalogue Number | 5027989U0 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
02/29/2024
|
Initial Date FDA Received | 04/03/2024 |
Was Device Evaluated by Manufacturer? |
No
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
Patient Age | 67 YR |
Patient Sex | Female |
|
|