FDA Adverse Event Other Summary report: N

ORAL-B RECHARGEABLE TOOTHBRUSH, VERSION UNK

MDR report key: 3257173 · Received July 18, 2013

Report

Report Number
3000302531-2013-00013
Event Type
Other
Date Received
July 18, 2013
Date of Event
June 15, 2013
Report Date
June 27, 2013
Manufacturer
BRAUN GMBH WERK MARKTHEIDENFELD
Product Code
JEQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

LOT NUMBER OR PRODUCT WAS NOT PROVIDED BY THE REPORTER THEREFORE UNABLE TO PROCEED WITH BATCH RETAIN TESTING OR PRODUCT INVESTIGATION. DEVICE NOT AVAILABLE FOR EVAL.

Description of Event or Problem · 1

REMOVING A CHIP FROM MY RIGHT FRONT TOOTH [TOOTH FRACTURE]. SLICED INTO MY LOWER LIP [LIP INJURY]. BOTTOM PART OF THE BRUSH HEAD CAME AWAY [DEVICE BREAKAGE]. CASE DESCRIPTION: A FEMALE CONSUMER OF UNSPECIFIED AGE USED AN ORAL-B RECHARGEABLE TOOTHBRUSH, VERSION UNK 1 APPLICATION, FREQUENCY OF APPLICATIONS UNK ON UNSPECIFIED DATES. THE BOTTOM PART OF THE BRUSHHEAD CAME AWAY REVEALING THE METAL PIN. THE PIN SLICED INTO HER LOWER LIP, SHE MOVED QUICKLY IN SHOCK AND CHIPPED HER RIGHT FRONT TOOTH WITH THE PIN. SHE IS VERY UPSET BY THIS AS IT IS VISIBLE AND IS ANXIOUS WHEN BRUSHING AND EATING DUE TO THE POSSIBILITY OF UNSEEN DAMAGE. MEDICAL TREATMENT: NO INFO WAS PROVIDED. RELEVANT HISTORY: NO INFO WAS PROVIDED. CONCOMITANT MEDICATION: NO INFO WAS PROVIDED. THE OUTCOME OF THE CASE IS: NOT RECOVERED/NOT RESOLVED. NO FURTHER INFO WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
335539 ORAL-B RECHARGEABLE TOOTHBRUSH, VERSION UNK POWERED TOOTHBRUSH JEQ BRAUN GMBH WERK MARKTHEIDENFELD UNK

Patients

Seq Age Sex Outcome Treatment
1 Other