MalfunctionDYN
SALIVA EJECTOR
Received Oct 15, 1998 · Event occurred Sep 8, 1998
Report MW1014801 · MDR key 193443
Device
Generic name
Disposable Clear With Blue Tip
Manufacturer
Henry Schein, Inc.Model number
*Catalog number
*
Lot number
*
Product problems
- Material Separation
Patient
UNKNOWN
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
SALIVA INJECTOR BEING USED TO SUCTION TODDLER'S ORAL CAVITY DURING A PROCEDURE. THE BLUE TIP OF THE EJECTOR CAME OFF AND WAS MANUALLY RETRIEVED BY STAFF. NO HARM TO PT.