inforMED
MalfunctionEHZ

SCHEIN DENTAL ULTIMA 5000 II SE

Received Aug 21, 2001 · Event occurred Apr 1, 2001

Report MW4003116 · MDR key 354741

Device

Generic name

Suction Hose

Model number

NI

Catalog number

NI

Lot number

NI

Product problems

  • Material Separation

Patient

NO INFO

  • Other (for use when an appropriate patient code cannot be identified)

Narrative

Description of Event or Problem

THE SUCTION HOSE OF THE MOBILE DENTAL CART BECOMES SEPARATED, REVERSING THE AIR FLOW. THIS RESULTS IN EXPELLING OF CONTENTS OF THE COLLECTION RECEPTACLE, POSSIBLY CONTAMINATING PTS AND MEDICAL PERSONNEL.