HU-FRIEDY #11/12R CURETTE RIGID
Received Oct 12, 2018 · Event occurred Sep 6, 2018
Report 1416605-2018-00007 · MDR key 7960256
Device
Generic name
Curette, Periodontic
Manufacturer
Hu-friedy Mfg. Co. LlcModel number
SG11/12R9E2Catalog number
SG11/12R9E2
Lot number
0118
Product problems
- Material Fragmentation
- Material Fragmentation
Patient
48 YR
- Foreign Body In Patient
- Foreign Body In Patient
Narrative
Additional Manufacturer Narrative
WEIGHT OF PATIENT IS UNKNOWN. ETHNICITY OF PATIENT IS UNKNOWN. RACE OF PATIENT IS UNKNOWN. NO KNOWN RELEVANT TESTS OR LABORATORY DATA. NO KNOWN RELEVANT HISTORY. HU-FRIEDY DOES NOT TRACK CLASS 1 DEVICES BY SERIAL NUMBER OR UDI, ONLY BY A LOT NUMBER, WHICH IS TIED TO THE DATE OF MANUFACTURE. THE PRODUCT INVOLVED IN THE EVENT DOES NOT HAVE AN EXPIRATION DATE. THE DEVICE IS NOT IMPLANTED, THEREFORE IMPLANT/EXPLANT DATES ARE NOT APPLICABLE. PREPROCESSOR DOES NOT APPLY. NO CONCOMITANT MEDICAL PRODUCTS OR THERAPY DATES PROVIDED. IND DOES NOT APPLY.
Description of Event or Problem
IT WAS REPORTED TO HU-FRIEDY THAT A PATIENT WAS BEING TREATED WHEN THE TIP OF AN INSTRUMENT BROKE AND BECAME LODGED IN THE GUM NEAR THE MESIAL OF TOOTH #2.