FDA Adverse Event Other Summary report: N

SONICARE FLEXCARE

MDR report key: 1032498 · Received April 21, 2008

Report

Report Number
3026630-2008-00002
Event Type
Other
Date Received
April 21, 2008
Date of Event
March 4, 2008
Report Date
March 5, 2008
Manufacturer
PHILIPS ORAL HEALTHCARE
Product Code
JEQ
PMA / PMN Number
K040416
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

EVALUATION OF THE DEVICE AND THE EVENT OCCURRENCE ARE UNDERWAY.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT HE PLUGGED THE SONICARE FLEXCARE POWERED TOOTHBRUSH IN AT HOME ON (B) (6) 2008 TO CHARGE IT. HE USED IT ONLY ONE TIME ON (B) (6) 2008 FOR 2 MINUTES. INCIDENT OCCURRED AFTER STEPPING IN THE SHOWER AFTER BRUSHING FOR 2 MINUTES. CUSTOMER CLAIMS FLEXCARE CAUSED HIS PACEMAKER TO PULSE ABNORMALLY FOR 3 TO 4 MINUTES AT HIGH MODE. CUSTOMER ALSO REPORTED THAT HE DID NOT READ THE DPU (DIRECTIONS FOR USE) PRIOR TO USE, WHICH STATES ON PAGE 5, "MEDICAL WARNINGS": ADDRESS QUESTIONS CONCERNING USAGE WITH A PACEMAKER OR OTHER IMPLANTED DEVICE TO YOUR PHYSICIAN OR THE IMPLANTED DEVICE MFR. CONSULT YOUR PHYSICIAN PRIOR TO USE THE SONICARE IF YOU HAVE MEDICAL CONCERNS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SONICARE FLEXCARE TOOTHBRUSH, POWERED JEQ PHILIPS ORAL HEALTHCARE 4235 010 06061 071101

Patients

Seq Age Sex Outcome Treatment
1 Other ST JUDE PACEMAER, MODEL #5386, (B) (4)