BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INTERDENTAL-SOFT-PICKS

    MDR report key: 13997752 · Received April 4, 2022

    Report

    Report Number
    0001413787-2022-00069
    Event Type
    Malfunction
    Date Received
    April 4, 2022
    Date of Event
    March 7, 2022
    Report Date
    March 7, 2022
    Manufacturer
    SUNSTAR AMERICAS INC.
    Product Code
    JET
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    CONSUMER STATED SHE PURCHASED SOFT PICKS AND THE BRISTLES STARTED TO FALL OFF DURING USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1240577 INTERDENTAL-SOFT-PICKS PICK, MASSAGING JET SUNSTAR AMERICAS INC. 650, 632

    Patients

    Seq Age Sex Outcome Treatment
    1 Female