BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ADVANCED CARE FLOSSER PICKS

    MDR report key: 14148420 · Received April 19, 2022

    Report

    Report Number
    0001413787-2022-00075
    Event Type
    Injury
    Date Received
    April 19, 2022
    Date of Event
    March 29, 2022
    Report Date
    March 29, 2022
    Manufacturer
    SUNSTAR AMERICAS INC.
    Product Code
    JET
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ID, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    CONSUMER WAS USING A PACK OF THE ADVANCED CARE FLOSSER PICKS AND WITH THE FIRST ONE HE USED, HE CHIPPED HIS TOOTH AND HIS TOOTH IS NOW IN PIECES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1266870 ADVANCED CARE FLOSSER PICKS PICK, MASSAGING JET SUNSTAR AMERICAS INC. 888A

    Patients

    Seq Age Sex Outcome Treatment
    1 Male Other