FDA Adverse Event Malfunction Summary report: N

SPINBRUSH PRO WHITENING POWERED TOOTHBRUSH

MDR report key: 2852357 · Received November 13, 2012

Report

Report Number
2280705-2012-00140
Event Type
Malfunction
Date Received
November 13, 2012
Report Date
November 12, 2012
Manufacturer
CHURCH & DWIGHT CO., INC.
Product Code
JEQ
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT USED WAS EITHER SPINBRUSH PRO WHITENING TOOTHBRUSH SOFT (B)(4) OR SPINBRUSH PRO WHITENING TOOTHBRUSH MEDIUM (B)(4). THERE IS NO CODE AVAILABLE THAT BEST FITS THE CONCLUSION.

Description of Event or Problem · 1

CONSUMER REPORTS TOOTHBRUSH HEAD BREAKAGE. THIS IS REPORTED AS A MALFUNCTION WITH THE POTENTIAL TO CAUSE SERIOUS INJURY. NO INJURY OCCURRED. THIS IS BEING SUBMITTED AS PART OF RETROSPECTIVE REVIEW TO IDENTIFY MALFUNCTIONS WITH THE POTENTIAL TO CAUSE SERIOUS INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPINBRUSH PRO WHITENING POWERED TOOTHBRUSH TOOTHBRUSH, POWERED 872.6865 JEQ CHURCH & DWIGHT CO., INC. DD1213H1

Patients

Seq Age Sex Outcome Treatment
1