Though no medical/surgical intervention was required to preclude a serious injury in this event, there have been previously reported events involving a similar device that resulted in the need for medical/surgical intervention to preclude permanent damage to a body structure or permanent impairment of a body function.Therefore, this event meets the criteria for reportability per 21 cfr part 803.As received, the handpiece could support the reported complaint.However, a root cause could not be determined.Production testing of the handpiece was not performed as the device was not in working condition as received.Quality personnel then investigate the handpiece.There was no evidence of the cap unscrewing under testing conditions where the cap was affixed with the specified torque wrench.The cap only moved when it was unscrewed by half a revolution during testing.Multiple dimensions on the head and cap were checked by production personnel and all were found to be within specification.The handpiece was then microscopically evaluated by quality personnel.Microscopic evaluation revealed minor debris within the cap and head cavities.Microscopic evaluation also revealed slight damage on the rotor blades.Instability of the set due to a cap end bearing retainer failure could have created additional vibrations in and about the head, encouraging the cap to come off during use.However, this theory could not be proven as the set was inoperable as received.All components looked dry and slightly corroded.
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