MalfunctionDYN
JB DENTAL SALIVA EJECTOR
Received Nov 3, 1997 · Event occurred Oct 22, 1997
Report 2523320-1997-00001 · MDR key 130440
Device
Generic name
Disposable Saliva Ejector
Manufacturer
T&s Dental & PlasticsModel number
60Catalog number
*
Lot number
97-60-41
Patient
*
Narrative
Description of Event or Problem
WHILE PERFORMING A ROUTINE DENTAL PROCEDURE ON A PT, THE EJECTOR TIP CAME OFF IN THE MOUTH. PT DID NOT SWALLOW THE TIP AS IT WAS REMOVED BEFORE THIS COULD OCCUR.
Remedial action
- Replace