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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DENTSPLY LLC G-139, TERMINATED 2 WIRE, HDPC CABLE ASSY, STERI-360 W/ SHORT FLOW CONTROL, 57",; SCALER, ULTRASONIC

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DENTSPLY LLC G-139, TERMINATED 2 WIRE, HDPC CABLE ASSY, STERI-360 W/ SHORT FLOW CONTROL, 57",; SCALER, ULTRASONIC Back to Search Results
Catalog Number 8134801
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
While the customer was using a cavitron integrated sys built in g139, they allege that the insert and handpiece are heating up.No injury was reported from the alleged event.
 
Additional Manufacturer Narrative
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.
 
Additional Manufacturer Narrative
Root cause is unknown as no product was returned by the customer.This complaint will be closed but will be reopened if product is returned for evaluation.
 
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Brand Name
G-139, TERMINATED 2 WIRE, HDPC CABLE ASSY, STERI-360 W/ SHORT FLOW CONTROL, 57",
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 Key23705380
Report Number2424472-2025-00163
Device Sequence Number10595912
Product Code ELC
UDI-Device IdentifierD00388002041
UDI-PublicD00388002041
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K052334
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) 01/07/2026
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 Number8134801
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 11/25/2025
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date12/03/2025
Supplement Report FDA Received Date01/07/2026
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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