FDA Adverse Event
Malfunction
Summary report: N
GUM MICROTIP TOOTHBRUSH
MDR report key: 14345691
·
Received May 10, 2022
Report
- Report Number
- 0001413787-2022-00096
- Event Type
- Malfunction
- Date Received
- May 10, 2022
- Date of Event
- September 27, 2018
- Report Date
- September 27, 2018
- Manufacturer
- SUNSTAR AMERICAS INC.
- Product Code
- EFW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SZ
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THIS MDR REPORT IS GENERATED RETROSPECTIVELY BASED ON COMPLAINTS AUDIT.
Description of Event or Problem · 0
CONSUMER WAS USING THE GUM MICROTIP TOOTHBRUSH AND THE BRISTLES STARTED TO PEEL OFF THE HEAD AFTER 15 DAYS OF USAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1455328 | GUM MICROTIP TOOTHBRUSH | TOOTHBRUSH, MANUAL | EFW | SUNSTAR AMERICAS INC. | 473MK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |