BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WATER PIK CORDLESS WATER FLOSSER

    MDR report key: 12898885 · Received November 30, 2021

    Report

    Report Number
    0001712259-2021-00007
    Event Type
    Injury
    Date Received
    November 30, 2021
    Report Date
    November 30, 2021
    Manufacturer
    WATER PIK, INC.
    Product Code
    EFS
    PMA / PMN Number
    EXEMPT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 0

    THE CUSTOMER SENT IN THEIR WP360. THE SERIAL NUMBER IS (B)(4). SHE DID NOT SEND OVER HER ANYWAY OF CONTACTING HER. IT APPEARS AS THOUGH SHE HAD AN ISSUE WITH A TOOTH AND WENT TO VISIT A DENTAL PROFESSIONAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1799722 WATER PIK CORDLESS WATER FLOSSER ORAL IRRIGATOR EFS WATER PIK, INC. WP-360

    Patients

    Seq Age Sex Outcome Treatment
    1 Female