inforMED
InjuryDYN

BURKHART LABEL SALIVA EJECTOR

Received Jul 22, 2015 · Event occurred Jun 29, 2015

Report MW5044821 · MDR key 4946020

Device

Generic name

Saliva Ejector

Lot number

04-10-151

Product problems

  • Material Separation

Patient

58 YR

  • Aspiration/Inhalation

Narrative

Description of Event or Problem

TIP FROM (B)(6) PRIVATE LABEL SALIVA EJECTOR (PRODUCT #(B)(4)) WAS SEPARATED WHILE SUCTIONING THE PATIENT DURING A DENTAL PROCEDURE. PATIENT ASPIRATED THE TIP. HE WAS SENT TO HOSPITAL FOR A BRONCHOSCOPY TO REMOVE THE TIP FROM HIS LUNG.