MalfunctionDYN
450 SAL EJECTOR 3283
Received Aug 23, 2005 · Event occurred Jan 1, 2005
Report 9612030-2005-00018 · MDR key 701987
Device
Generic name
Dental Ejector
Manufacturer
Tyco/kendall HealthcareModel number
8881450004Catalog number
8881450004
Lot number
506506864
Product problems
- Detachment Of Device Component
Patient
UNKNOWN
Narrative
Description of Event or Problem
A CUSTOMER HAD A PROBLEM WITH AN EJECTOR. THE CUSTOMER STATES THAT THE DISTAL BLUE TIP CAME OFF OF THE TUBE.