FDA Adverse Event
Injury
Summary report: N
GUM CRAYOLA TOOTHBRUSH
MDR report key: 15217488
·
Received August 12, 2022
Report
- Report Number
- 0001413787-2022-00295
- Event Type
- Injury
- Date Received
- August 12, 2022
- Date of Event
- November 16, 2018
- Report Date
- November 16, 2018
- Manufacturer
- SUNSTAR AMERICAS INC.
- Product Code
- EFW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THIS MDR REPORT IS GENERATED RETROSPECTIVELY BASED ON COMPLAINTS AUDIT.
Description of Event or Problem · 0
CONSUMER WAS USING A GUM CRAYOLA TOOTHBRUSH TO BRUSH HIS CHILDS TEETH AND THE BRISTLES FELL OUT AND MADE HIM CHOKE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2790594 | GUM CRAYOLA TOOTHBRUSH | TOOTHBRUSH, MANUAL | EFW | SUNSTAR AMERICAS INC. | 232KK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male | Other |