FDA Adverse Event
Malfunction
Summary report: N
WATER PIK CORDLESS PULSE WATER FLOSSER
MDR report key: 19243796
·
Received May 3, 2024
Report
- Report Number
- 0001712259-2024-00008
- Event Type
- Malfunction
- Date Received
- May 3, 2024
- Date of Event
- April 19, 2024
- Report Date
- May 3, 2024
- 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 PURCHASED UNIT FROM AMAZON EARLY FEBRUARY. USED TWICE DAILY. NO ADDITIVES. NO CLEANING. CHARGED ONCE EVERY DAY OR TWO. CHARGE CORD MELTED NEAR CHARGE PORT DURING CHARGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 101510 | WATER PIK CORDLESS PULSE WATER FLOSSER | ORAL IRRIGATOR | EFS | WATER PIK INC. | WF-20 | 230907AU |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Other |