FDA Adverse Event
Injury
Summary report: N
A AND H SPINBRUSH UNSPECIFIED
MDR report key: 15767428
·
Received November 10, 2022
Report
- Report Number
- 2280705-2022-01631
- Event Type
- Injury
- Date Received
- November 10, 2022
- Report Date
- October 30, 2022
- Manufacturer
- CHURCH & DWIGHT CO., INC
- Product Code
- JEQ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NE, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
THIS SPONTANEOUS REPORT (2022-CDW-01631, 007647728A) FROM THE UNITED STATES OF AMERICA WAS REPORTED BY A MALE CONSUMER (AGE UNSPECIFIED) WHO EXPERIENCED CHIPPED TOOTH COINCIDENT WITH THE A AND H SPINBRUSH UNSPECIFIED. THE CONSUMER'S MEDICAL HISTORY AND CONCOMITANT MEDICATIONS WERE NOT REPORTED. ON AN UNSPECIFIED DATE, THE CONSUMER INITIATED THE A AND H SPINBRUSH UNSPECIFIED VIA THE DENTAL ROUTE. WHILE USING IT, HE GOT HIS TOOTH CHIPPED. NO ADDITIONAL INFORMATION WAS AVAILABLE. THE ACTION TAKEN WITH A AND H SPINBRUSH UNSPECIFIED AND THE OUTCOME OF THE EVENT CHIPPED TOOTH WAS UNKNOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1059875 | A AND H SPINBRUSH UNSPECIFIED | A AND H SPINBRUSH UNSPECIFIED | JEQ | CHURCH & DWIGHT CO., INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male | Required Intervention |