BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EQUATE PWTB OCK FLSS&PICKS

    MDR report key: 10096945 · Received May 28, 2020

    Report

    Report Number
    1825660-2020-00773
    Event Type
    Injury
    Date Received
    May 28, 2020
    Date of Event
    April 30, 2020
    Report Date
    May 28, 2020
    Manufacturer
    RANIR LLC
    Product Code
    JEQ
    UDI-DI
    68113122403
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGED SHE BROKE A TOOTH WHILE USING THE DUAL ZONE TOOTHBRUSH. CUSTOMER IS SEEKING COMPENSATION FOR MEDICAL BILL FOR THE REPLACEMENT OF HER TOOTH. WHEN SHE WENT TO CLOSE HER MOUTH, HER TOOTH WAS HANGING. SHE PUSHED IT BACK IN TO PLACE. THIS HAPPENED MID (B)(6) AND SHE KEPT IT IN PLACE FOR A MONTH. DENTIST WAS CLOSED DUE COVID-19, SO SHE PULLED HER OWN TOOTH OUT ON (B)(6). SHE TOOK RUM AND TRIED TO NUMB HER GUM AND SHE PULLED HER OWN TOOTH. SHE HAS HAD A CROWN ON HER TOOTH. SHE STILL HASN'T SEEN A DENTIST BECAUSE THE DENTIST IS CLOSED DUE TO COVID 19.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    562528 EQUATE PWTB OCK FLSS&PICKS TOOTHBRUSH, POWERED JEQ RANIR LLC PWTB OCK FLSS&PICKS 68113122403

    Patients

    Seq Age Sex Outcome Treatment
    1