FDA Adverse Event Other Summary report: N

SONICARE

MDR report key: 3592660 · Received January 8, 2014

Report

Report Number
3026630-2013-00030
Event Type
Other
Date Received
January 8, 2014
Date of Event
December 12, 2013
Report Date
December 31, 2013
Manufacturer
PHILIPS ORAL HEALTHCARE
Product Code
JEQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ON (B)(6) 2013, SPOKE WITH THE CUSTOMER. CLAIMS THAT HER (B)(6) DAUGHTER WAS BRUSHING TOP MOLARS AND THE UNIT SLIPPED OFF HER TEETH AND CUT THE INSIDE OF THEIR MOUTH. CLAIMS THAT THEY HAD HER RINSE ABOUT FOUR TIMES WITH WATER TO CLEAN ALL THE BLOOD OUT OF HER MOUTH WHICH IS WHEN THEY NOTICED THE CUT. CLAIMS THAT THE DAUGHTER WAS TAKEN TO THE DENTIST WHO PUT TWO STITCHES IN HER MOUTH AND PUT HER ON ANTIBIOTICS. THEY HAVE HAD THE UNIT FOR ABOUT A YEAR AND HALF AND HAVE ONLY CHANGED THE BRUSH HEADS ONE TIME. ON (B)(4) 2013. CONSUMER AGREED TO RETURN THE PRODUCT FOR EVAL.

Description of Event or Problem · 1

ON (B)(6) 2013, CUSTOMER CLAIMS THAT WHILE THEIR CHILD WAS BRUSHING THEIR TEETH, THE TOOTHBRUSH FLIPPED OUT OF HER MOUTH, WHICH SEVERELY CUT THE CHILD. THE CUSTOMER STATED THEY WENT TO THE DENTIST AND CHILD RECEIVED TWO STITCHES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
14704 SONICARE SONICARE FOR KIDS JEQ PHILIPS ORAL HEALTHCARE HX6330

Patients

Seq Age Sex Outcome Treatment
1 UNK Other