FDA Adverse Event
Malfunction
Summary report: N
REACH BY DESIGN TOOTHBRUSH/ULTRACLEAN
MDR report key: 3033447
·
Received April 3, 2013
Report
- Report Number
- 2214133-2012-00156
- Event Type
- Malfunction
- Date Received
- April 3, 2013
- Report Date
- March 30, 2012
- Manufacturer
- SKILLMAN CONTRACT
- Product Code
- EFW
- PMA / PMN Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- RI, US
- Reporter Occupation
- NOT APPLICABLE
- Health Professional
- N
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 137508 | REACH BY DESIGN TOOTHBRUSH/ULTRACLEAN | TOOTHBRUSH, MANUAL | EFW | SKILLMAN CONTRACT | REULCTUS | 15811SG 83 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |