BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SONICARE

    MDR report key: 4524769 · Received February 12, 2015

    Report

    Report Number
    3026630-2015-00016
    Event Type
    Injury
    Date Received
    February 12, 2015
    Date of Event
    February 6, 2015
    Report Date
    February 11, 2015
    Manufacturer
    PHILIPS ORAL HEALTHCARE, INC.
    Product Code
    JEQ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    WAITING FOR CONSUMER TO RESPOND TO CONTACT ATTEMPTS.

    Description of Event or Problem · 1

    CUSTOMER CLAIMS THE TOOTHBRUSH CAUSED A CHIPPED TOOTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    103356 SONICARE FLEXCARE JEQ JEQ PHILIPS ORAL HEALTHCARE, INC. HX6910

    Patients

    Seq Age Sex Outcome Treatment
    1 Other