BEUDAMED
    FDA Adverse Event Other Summary report: N

    SONICARE

    MDR report key: 3592659 · Received January 8, 2014

    Report

    Report Number
    3026630-2013-00032
    Event Type
    Other
    Date Received
    January 8, 2014
    Date of Event
    December 13, 2013
    Report Date
    December 31, 2013
    Manufacturer
    PHILIPS ORAL HEALTHCARE
    Product Code
    JEQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ON (B)(4) 2013, A VOICE MAIL WAS LEFT REQUESTING THAT THE CONSUMER CALL US BACK. ON (B)(4) 2013, REQUEST FOR DENTAL INFO IN RELATION TO THIS CLAIMED INCIDENT WAS SENT TO THE CONSUMER.

    Description of Event or Problem · 1

    ON (B)(6) 2013, CUSTOMER CLAIMS HE CHIPPED TWO TEETH USING THE UNIT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    14833 SONICARE HEALTHYWHITE JEQ PHILIPS ORAL HEALTHCARE HX6711

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other