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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DENTSPLY LLC CAVITRON 300 SERIES G310SCLR(DNA); SCALER, ULTRASONIC

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DENTSPLY LLC CAVITRON 300 SERIES G310SCLR(DNA); SCALER, ULTRASONIC Back to Search Results
Catalog Number G310SCLR
Medical Device Problem Code Restricted Flow rate (1248)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
There has been a previous report received where lack of water flow has caused an overheating insert.Since an overheating insert could necessitate medical/surgical intervention to preclude permanent damage to a body structure or permanent impairment of a body function, this malfunction would be likely to cause/contribute to a serious injury should it recur.As such, this event meets the criteria for reportability per 21 cfr part 803.The device is available for evaluation, though has not been returned as of this report.Evaluation results will be submitted as they become available.
 
Event or Problem Description
While using a cavitron 300 series g310 they allege that they have little water and the handpiece and insert are getting warm, no injury resulted.
 
Additional Manufacturer Narrative
Root cause is unknown as no product was returned by the customer after two attempts were made.This complaint will be closed but will be reopened if product is returned.
 
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Brand Name
CAVITRON 300 SERIES G310SCLR(DNA)
Common Device Name
SCALER, ULTRASONIC
Manufacturer (Section D)
DENTSPLY LLC
1301 smile way
york PA 17404
Manufacturer (Section G)
DENTSPLY LLC
1301 smile way
york PA 17404
Manufacturer Contact
dan eagar
221 w. philadelphia st.
york, PA 17401
7178494593
MDR Report Key20835384
Report Number2424472-2024-00110
Device Sequence Number8628006
Product Code ELC
UDI-Device IdentifierD00382703121
UDI-PublicD00382703121
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K150535
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Dentist
Type of Report Initial,Followup
Report Date (Section B) 03/03/2025
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
Operator of Device Health Professional
Device Catalogue NumberG310SCLR
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 11/20/2024
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date12/03/2024
Supplement Report FDA Received Date03/03/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Patient SexUnknown
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