inforMED
MalfunctionEKR

SYBRONENDO

Received Oct 23, 2018

Report 2016150-2018-00056 · MDR key 7996367

Device

Generic name

Buchanan Heat Plugger

Manufacturer

Sybronendo

Catalog number

952-0004

Product problems

  • Application Program Problem: Dose Calculation Error
  • Application Program Problem: Dose Calculation Error

Patient

Not reported

  • No Code Available
  • No Code Available

Narrative

Additional Manufacturer Narrative

NO PATIENT INFORMATION WAS PROVIDED IN REGARDS TO AGE, GENDER, ETHNICITY, AND RACE. DATE OF EVENT WAS NOT PROVIDED. NO INFORMATION WAS PROVIDED IN REGARDS TO THE SERIAL NUMBER, THEREFORE DEVICE MANUFACTURING DATE COULD NOT BE DETERMINED. FOLLOW UP ATTEMPTS WERE MADE FOR ADDITIONAL INFORMATION, HOWEVER THERE WAS NO RESPONSE. THE PRODUCT HAS BEEN IDENTIFIED AS A POTENTIAL AFFECTED PRODUCT IN AN ONGOING CLASS II RECALL; THEREFORE NO FURTHER EVALUATION IS NECESSARY.

Description of Event or Problem

AN ALLEGED COMPLAINT WAS REPORTED THAT THE BUCHANAN PLUGGER OVERHEATED THE GUTTA PERCHA AND IT GOT INTO THE NASAL CAVITY OF THE PATIENT.

Remedial action

  • Recall