| Brand Name | HENRY SCHEIN |
| Common Device Name | ULTRASONIC SCALER |
| Manufacturer (Section D) |
| TTBIO CORP |
| 2f, no. 7, 6th road |
| industry pa |
| taichung, 40755 |
| TW 40755 |
|
| MDR Report Key | 24974903 |
| Report Number | 3007007357-2026-00006 |
| Device Sequence Number | 4915842 |
| Product Code |
ELC
|
| UDI-Device Identifier | 00304040155837 |
| UDI-Public | (01)00304040155837 |
| Combination Product (Y/N) | N |
| Initial Reporter State | CO |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Importer
|
| Initial Reporter Occupation |
Dentist
|
| Type of Report
| Initial |
| Report Date (Section B) |
04/23/2026 |
| Report Date (Section F) |
04/23/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Model Number | ACCLEAN ULTRASONIC SCALER |
| Device Catalogue Number | 570-2771 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 04/24/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
Yes
|
| Distributor Facility Aware Date | 03/24/2026 |
| Device Age | 9 MO |
| Event Location |
Outpatient Treatment Facility
|
| Date Report to Manufacturer | 04/24/2026 |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 04/23/2026 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Age | 25 YR |
| Patient Sex | Female |
| Date Report Sent to FDA | 04/23/2026 |
|
|