FDA Adverse Event Other Summary report: N

SONICARE

MDR report key: 2879417 · Received November 14, 2012

Report

Report Number
3026630-2012-00017
Event Type
Other
Date Received
November 14, 2012
Date of Event
October 11, 2012
Report Date
November 10, 2012
Manufacturer
PHILIPS ORAL HEALTHCARE, INC.
Product Code
JEQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ON (B)(6) 2012, AN EMAIL WAS SENT TO THE CONSUMER REQUESTING A CALL BACK. ON (B)(6) 2012, A VOICEMAIL WAS LEFT FOR THE CONSUMER REQUESTING A CALL BACK. ON (B)(6) 2012, HAVE NOT RECEIVED A CALL BACK FROM THE CONSUMER. HAVE NOT RECEIVED THE UNIT, WILL FILE A FOLLOW UP.

Description of Event or Problem · 1

ON (B)(6) 2012, CONSUMER STATED THAT AFTER THREE WEEKS OF USE SHE BELIEVES THAT THE ENAMEL ON HER TOOTH BEGAN CHIPPING OFF. CONSUMER STATES THAT THERE WAS ONE CHIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SONICARE HEALTHYWHITE JEQ PHILIPS ORAL HEALTHCARE, INC. HX6732

Patients

Seq Age Sex Outcome Treatment
1 UNK Other