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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DENTSPLY LLC SCHICK33 CONVERSION 3.0 USB KIT, 6'; UNIT, X-RAY, INTRAORAL

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DENTSPLY LLC SCHICK33 CONVERSION 3.0 USB KIT, 6'; UNIT, X-RAY, INTRAORAL Back to Search Results
Catalog Number 100008720
Medical Device Problem Code Poor Quality Image (1408)
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 part of an intraoral sensor system, schick33 conversion 3.0 usb kit, 6', they allege experiencing intermittent connectivity issues when an x-ray image was taken or an additional image was required.No injury was reported from the alleged event.
 
Additional Manufacturer Narrative
While no serious injury resulted in this event, if this malfunction recurred, it could cause or contribute to a serious injury or require medical or surgical intervention to preclude such.This event, therefore, is reportable per 21cfr part 803.Usb 3 firmware v1.4 contains an issue in the portion of code used to optimize sensor performance.If the optimization occurs during an exposure or sensor readout, there is a chance that the resulting image will be corrupted.Image data following the point of corruption will consist of data that was previously held in the memory of the usb device.As a result, the presented image may contain a portion of data from a previous exposure.In general, this would be obvious to the user since the presented image would either contain obvious artifacts or different anatomy than expected.
 
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Brand Name
SCHICK33 CONVERSION 3.0 USB KIT, 6'
Common Device Name
UNIT, X-RAY, INTRAORAL
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 west philadelphia st.
york, PA 17401
7178457511
MDR Report Key24485129
Report Number2424472-2026-00587
Device Sequence Number20106655
Product Code EAP
UDI-Device IdentifierD0031000087200
UDI-PublicD0031000087200
Combination Product (Y/N)N
Initial Reporter StateNV
Initial Reporter CountryUS
PMA/510(K) Number
K093453
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Dentist
Type of Report Initial,Followup
Report Date (Section B) 05/29/2026
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
Device Catalogue Number100008720
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Distributor Facility Aware Date02/25/2026
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 02/25/2026
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date03/02/2026
Supplement Report FDA Received Date05/29/2026
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Usage of Device A
Patient Sequence Number1
Patient SexUnknown
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