MAUDE Adverse Event Report: DENTSPLY LLC BOBCAT PRO 115V DOM PACKED(DNA); SCALER, ULTRASONIC

Catalog Number	81201
Medical Device Problem Code	Restricted Flow rate (1248)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction
Event or Problem Description
While using a bobcat pro g130 they allege that they have low water flow to the handpiece and the handpiece overheats, no injury resulted.
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.Investigation results: (b)(4), 4/21/2025.W4e water sol, iso valve clogged.The water solenoid is clogged, restricting water flow, damaged needle valve hpc is heating up because of damaged, restricting water flow, dirty blue hose, rusted qd and nut sleeve.Missing bumpers.Check the calibration.The unit will be repaired upon estimates approval.

• Brand Name: BOBCAT PRO 115V DOM PACKED(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 Key: 21875780
• Report Number: 2424472-2025-00044
• Device Sequence Number: 15367044
• Product Code: ELC
• UDI-Device Identifier: D003812011
• UDI-Public: D003812011
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K033705
• Number of Events Summarized: 1
• 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
• Report Date (Section B): 04/21/2025

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 Number: 81201
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 04/15/2025
• Initial Report FDA Received Date: 04/21/2025
• 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 Number: 1
• Patient Sex: Unknown