BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WATER PIK SIDEKICK WATER FLOSSER

    MDR report key: 17818513 · Received September 26, 2023

    Report

    Report Number
    0001712259-2023-00019
    Event Type
    Malfunction
    Date Received
    September 26, 2023
    Date of Event
    August 30, 2023
    Report Date
    September 26, 2023
    Manufacturer
    WATER PIK INC.
    Product Code
    EFS
    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

    CUSTOMER CHATTED IN STATING THAT TRANSFORMER FOR HER UNIT MELTED AND SHE WAS SEEKING A REPLACEMENT TO THIS PART. PHOTOS HAVE BEEN PROVIDED HER THE AGENT REQUEST (ATTACHED). AWAITING RESPONSE TO WHEN/WHERE PURCHASED, WHEN/HOW ISSUE OCCURRED, ADDITIVES, CLEANING, TRANSFORMER STORAGE AND RECEIPT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    985240 WATER PIK SIDEKICK WATER FLOSSER FLOSSER EFS WATER PIK INC. WF-04 210517AP

    Patients

    Seq Age Sex Outcome Treatment
    1 Female Other