BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GUM DEEP CLEAN COMPACT SOFT TOOTHBRUSH

    MDR report key: 17750293 · Received September 14, 2023

    Report

    Report Number
    0001413787-2023-00064
    Event Type
    Malfunction
    Date Received
    September 14, 2023
    Date of Event
    August 30, 2023
    Report Date
    September 14, 2023
    Manufacturer
    SUNSTAR AMERICAS INC.
    Product Code
    EFW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    A CONSUMER STATED THAT THE BRISTLES WERE FALLING OUF OF THE GUM DEEP CLEAN TOOTHRUSH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1781575 GUM DEEP CLEAN COMPACT SOFT TOOTHBRUSH TOOTHBRUSH, MANUAL EFW SUNSTAR AMERICAS INC. 525PH

    Patients

    Seq Age Sex Outcome Treatment
    1 Female