BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WATER PIK POWERPULSE HEIGHT SELECT MAGNETIC SLIDE STRIP SHOWER SYSTEM

    MDR report key: 17814331 · Received September 25, 2023

    Report

    Report Number
    0001712259-2023-00018
    Event Type
    Malfunction
    Date Received
    September 25, 2023
    Date of Event
    August 28, 2023
    Report Date
    September 25, 2023
    Manufacturer
    WATER PIK INC.
    Product Code
    LYG
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 0

    MAGNETIC SH INSTALLED A MONTH AGO & FELL OFF WALL. NO MEDICAL ATTENTION WAS SOUGHT AND NO INJURY OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1441369 WATER PIK POWERPULSE HEIGHT SELECT MAGNETIC SLIDE STRIP SHOWER SYSTEM SHOWER HEAD LYG WATER PIK INC. XHS-763MVB UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Male Other