FDA Adverse Event Other Summary report: N

ORAL-B RECHARGEABLE TOOTHBRUSH VERSION UNK

MDR report key: 1981409 · Received December 13, 2010

Report

Report Number
3000302531-2009-00001
Event Type
Other
Date Received
December 13, 2010
Report Date
February 18, 2009
Manufacturer
BRAUN GMBH WERK MARKTHEIDENFELD
Product Code
JEQ
PMA / PMN Number
(KR) OTC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

TO DATE, PRODUCT DETAILS INCLUDING LOT NUMBER WAS NOT PROVIDED BY REPORTER; THEREFORE, UNABLE TO PROCEED WITH BATCH RETAIN TESTING OR PRODUCT INVESTIGATION.

Description of Event or Problem · 1

CASE DESCRIPTION: A MGR FROM A HOME SHOPPING CORP REPORTED THAT A CONSUMER REPORTED TO THEM THAT THEIR SON, AGE UNSPECIFIED, USED AN ORAL-B POWER (RECHARGEABLE) TOOTHBRUSH VERSION UNK AND REPORTED THAT "A METAL PART FROM THE TOOTHBRUSH APPARENTLY HIT THE CHILD'S FACE AND THE HOSPITAL GAVE THE DIAGNOSIS OF BLOOD POISONING". THE CASE OUTCOME WAS UNK. NO FURTHER INFORMATION WAS PROVIDED. HOSPITAL GAVE THE DIAGNOSIS BLOOD POISONING [SEPSIS]. METAL PART FROM ORAL B RECHARGEABLE TOOTHBRUSH APPARENTLY HIT HIS FACE [FACE INJURY].

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ORAL-B RECHARGEABLE TOOTHBRUSH VERSION UNK NONE JEQ BRAUN GMBH WERK MARKTHEIDENFELD

Patients

Seq Age Sex Outcome Treatment
1 Other