BEUDAMED
    FDA Adverse Event Other Summary report: N

    GREEN FIREFLY SUCTION TOOTHBRUSH FOR KIDS

    MDR report key: 6089533 · Received November 8, 2016

    Report

    Report Number
    MW5065919
    Event Type
    Other
    Date Received
    November 8, 2016
    Date of Event
    October 28, 2016
    Report Date
    October 28, 2016
    Manufacturer
    DR. FRESH, LLC
    Product Code
    JEQ
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    MY (B)(6) WAS USING A FIRELY TOOTHBRUSH AND THE HEAD BROKE OFF. SHE CAME DOWN AND SAID, "I DIDN'T EVEN TOUCH THIS THAT HARD AND THE HEAD BROKE OFF WITH A POINTY PIECE LEFT." SHE WAS CONCERNED THAT SOME LITTLE KID MAY BE USING THIS AND IT WOULD CAUSE A CHOKING HAZARD. INCIDENT, NO INJURY. RETAILER: (B)(6). RETAILER STATE: (B)(6). PURCHASE DATE: (B)(6) 2016. I STILL HAVE THE PRODUCT IN MY POSSESSION: YES. THE PRODUCT WAS DAMAGED BEFORE THE INCIDENT: NO. THE PRODUCT WAS MODIFIED BEFORE THE INCIDENT: NO. HAVE YOU CONTACTED THE MFR? NO. IF NOT, DO YOU PLAN TO CONTACT THEM? NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    735727 GREEN FIREFLY SUCTION TOOTHBRUSH FOR KIDS TOOTH BRUSH JEQ DR. FRESH, LLC

    Patients

    Seq Age Sex Outcome Treatment
    1 10 YR