FDA Adverse Event
Malfunction
Summary report: N
WATER PIK CORDLESS SLIDE WATER FLOSSER
MDR report key: 17741243
·
Received September 13, 2023
Report
- Report Number
- 0001712259-2023-00015
- Event Type
- Malfunction
- Date Received
- September 13, 2023
- Date of Event
- August 19, 2023
- Report Date
- September 13, 2023
- Manufacturer
- WATER PIK INC.
- Product Code
- EFS
- PMA / PMN Number
- EXEMPT
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- 501
Narratives
Description of Event or Problem · 0
CUSTOMER EMAILED IN IMAGE OF BURNT CHARGER CONNECTION AND CHARGE CABLE. CUSTOMER WOKE UP TO SMELL OF SMOKE AND NOTICED HER MACHINE WAS SMOKING FROM THE BURNING CHARGER CONNECTION. NO DAMAGE TO HOUSE OR PERSON.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 88322 | WATER PIK CORDLESS SLIDE WATER FLOSSER | ORAL IRRIGATOR | EFS | WATER PIK INC. | WF-17 | 230214HAPR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female | Other |