BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TELEDYNE WATER PIK

    MDR report key: 105314 · Received July 11, 1997

    Report

    Report Number
    1712259-1997-00003
    Event Type
    Injury
    Date Received
    July 11, 1997
    Date of Event
    May 4, 1997
    Report Date
    July 11, 1997
    Manufacturer
    TELEDYNE WATER PIK
    Product Code
    JEQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    THE MOTHER CONTACTED THE CO ON 16 JUNE 97 TO REPORT THAT MEDICAL INTERVENTION WAS NECESSARY TO MONITOR AND HELP PASS A TOOTHBRUSH HEAD FROM HER SON'S COLON. THE 10 YR OLD BOY SWALLOWED THE TOOTHBRUSH HEAD ON 4 MAY 97. THE PROGRESS OF THE TOOTHBRUSH WAS MONITORED WITH THE AID OF DIAGNOSTIC X-RAY. THE LAST REPORT CONCLUDES THAT THE TOOTHBRUSH HAS PASSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TELEDYNE WATER PIK AUTOMATIC TOOTHBRUSH JEQ TELEDYNE WATER PIK PC 3000W NA

    Patients

    Seq Age Sex Outcome Treatment
    1 10 YR Required Intervention