BEUDAMED
    FDA Adverse Event Other Summary report: N

    EQUATE DOUBLE ACTION DENTURE CLEANSER

    MDR report key: 3250448 · Received June 26, 2013

    Report

    Report Number
    1219540-2013-00005
    Event Type
    Other
    Date Received
    June 26, 2013
    Date of Event
    June 19, 2013
    Report Date
    June 25, 2013
    Manufacturer
    TOWER LABORATORIES, LTD.
    Product Code
    EFT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    CONSUMER REPORTED THAT THE EQUATE DOUBLE ACTION DENTURE CLEANSER CAUSED SORES IN HER MOUTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    289648 EQUATE DOUBLE ACTION DENTURE CLEANSER EFFERVESCENT DENTURE CLNR EFT TOWER LABORATORIES, LTD. 30501-4

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Other