FDA Adverse Event
Injury
Summary report: N
A AND H SPINBRUSH UNSPECIFIED
MDR report key: 15614986
·
Received October 17, 2022
Report
- Report Number
- 2280705-2022-01492
- Event Type
- Injury
- Date Received
- October 17, 2022
- Report Date
- September 28, 2022
- Manufacturer
- CHURCH & DWIGHT CO., INC
- Product Code
- JEQ
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MT, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
THIS SPONTANEOUS REPORT (2022-CDW-01492, 007628634A) FROM THE UNITED STATES OF AMERICA WAS REPORTED BY A MALE CONSUMER (GENDER UNSPECIFIED) WHOSE HEAD OF TOOTHBRUSH BROKE OFF AND HAD CHIPPED TOOTH COINCIDENT WITH A AND H SPINBRUSH UNSPECIFIED. THE CONSUMER'S MEDICAL HISTORY AND CONCOMITANT MEDICATIONS WERE NOT REPORTED. ON AN UNSPECIFIED DATE, THE CONSUMER INITIATED NEW A AND H SPINBRUSH UNSPECIFIED VIA DENTAL ROUTE. WHILE USING, THE OF IT BROKE OFF INTO HIS MOUTH AND CHIPPED HIS TOOTH. NO ADDITIONAL INFORMATION WAS AVAILABLE. THE ACTION TAKEN WITH A AND H SPINBRUSH UNSPECIFIED WAS UNKNOWN. THE OUTCOME OF THE EVENT CHIPPED MY TOOTH WAS UNKNOWN. THE OUTCOME OF THE EVENT HEAD OF IT BROKE OFF INTO MY MOUTH WAS NOT APPLICABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2944265 | A AND H SPINBRUSH UNSPECIFIED | TOOTHBRUSH, POWERED | JEQ | CHURCH & DWIGHT CO., INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male | Disability |