FDA Adverse Event
Malfunction
Summary report: N
DOME TRIM SOFT TOOTHBRUSH
MDR report key: 14316527
·
Received May 7, 2022
Report
- Report Number
- 0001413787-2022-00078
- Event Type
- Malfunction
- Date Received
- May 7, 2022
- Date of Event
- April 18, 2022
- Report Date
- April 18, 2022
- Manufacturer
- SUNSTAR AMERICAS INC.
- Product Code
- EFW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
CONSUMER HAD BOUGHT 6 TOOTHBRUSHES AND HE STATED THAT THE BRISTLES STARTED TO FALL APART.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 307514 | DOME TRIM SOFT TOOTHBRUSH | TOOTHBRUSH, MANUAL | EFW | SUNSTAR AMERICAS INC. | 457PC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male |