BEUDAMED
    FDA Adverse Event Other Summary report: N

    CREST

    MDR report key: 2467547 · Received February 17, 2012

    Report

    Report Number
    MW5024364
    Event Type
    Other
    Date Received
    February 17, 2012
    Date of Event
    July 20, 2007
    Report Date
    February 17, 2012
    Manufacturer
    NA
    Product Code
    JEQ
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    WHILE I WAS BRUSHING MY TEETH WITH THE ADULT SPIN BRUSH PROCLEAN, PARTS OF THE TOOTHBRUSH BROKE OFF AND IT WAS FORCE AND CAUSED ME TO HAVE A CHIPPED TOOTH AT THE BOTTOM. I DID NOT GET IT FIXED BECAUSE I COULD NOT AFFORD WHAT IT WOULD COST TO GET IT FIXED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CREST THE ADULT SPIN BRUSH PROCLEAN JEQ NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Other