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MAUDE Adverse Event Report: DENTAL DRILL; NONE
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DENTAL DRILL; NONE
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Device Problem
Insufficient Information (3190)
Patient Problem
Partial thickness (Second Degree) Burn (2694)
Event Date
05/20/2014
Event Type
Injury
Event Description
Visited the dentist to fill cavities and the drill burnt my mouth.I currently have two blisters in my mouth each about 1/4 inch in size.
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Brand Name
DENTAL DRILL
Type of Device
NONE
MDR Report Key
3835626
MDR Text Key
4501485
Report Number
MW5036254
Device Sequence Number
1
Product Code
DZA
Reporter Country Code
US
Number of Events Reported
1
Summary Report (Y/N)
N
Report Source
Voluntary
Reporter Occupation
Patient
Type of Report
Initial
Report Date
05/20/2014
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
Initial Date Manufacturer Received
Not provided
Initial Date FDA Received
05/21/2014
Patient Sequence Number
1
Patient Outcome(s)
Other;
Patient Age
37 YR
Patient Weight
77
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