FDA Adverse Event Injury Summary report: N

SENSODYNE TOOTHBRUSH

MDR report key: 6306973 · Received February 7, 2017

Report

Report Number
9615008-2017-00002
Event Type
Injury
Date Received
February 7, 2017
Report Date
January 27, 2017
Manufacturer
M + C SCHIFFER GMBH
Product Code
EFW
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

ASSOCIATED WITH ARGUS CASE FR2017GSK013879, SENSODYNE TOOTHBRUSH.

Description of Event or Problem · 1

CASE DESCRIPTION: THIS CASE WAS REPORTED BY A CONSUMER VIA OTHER AND DESCRIBED THE OCCURRENCE OF HEMORRHAGE IN A FEMALE PATIENT WHO RECEIVED GSK TOOTHBRUSH (SENSODYNE TOOTHBRUSH) TOOTHBRUSH FOR DRUG USE FOR UNKNOWN INDICATION. ON AN UNKNOWN DATE, THE PATIENT STARTED SENSODYNE TOOTHBRUSH. ON AN UNKNOWN DATE, AN UNKNOWN TIME AFTER STARTING SENSODYNE TOOTHBRUSH, THE PATIENT EXPERIENCED HEMORRHAGE (SERIOUS CRITERIA GSK MEDICALLY SIGNIFICANT). THE ACTION TAKEN WITH SENSODYNE TOOTHBRUSH WAS UNKNOWN. ON AN UNKNOWN DATE, THE OUTCOME OF THE HEMORRHAGE WAS UNKNOWN. THE REPORTER CONSIDERED THE HEMORRHAGE TO BE RELATED TO SENSODYNE TOOTHBRUSH. FOLLOW UP INFORMATION RECEIVED 27 FEB 2017. FOLLOWING INTERNAL REVIEW IT WAS DETERMINED THE INITIAL RECEIPT DATE WAS 27-FEB-2017. THE CASE WAS ORIGINALLY PROCESSED WITH FOLLOW UP RECEIPT DATES TICKED, HENCE PROVIDING A LATER CLOCK START DATE. THE FOLLOW UP RECEIPT DATE 31-JAN-2017, WAS ADDED IN ERROR BY THE LOC.

Description of Event or Problem · 1

BLEEDING [HEMORRHAGE]. CASE DESCRIPTION: THIS CASE WAS REPORTED BY A CONSUMER VIA OTHER AND DESCRIBED THE OCCURRENCE OF HEMORRHAGE IN A FEMALE PATIENT WHO RECEIVED GSK TOOTHBRUSH (SENSODYNE TOOTHBRUSH) TOOTHBRUSH FOR DRUG USE FOR UNKNOWN INDICATION. ON AN UNKNOWN DATE, THE PATIENT STARTED SENSODYNE TOOTHBRUSH. ON AN UNKNOWN DATE, AN UNKNOWN TIME AFTER STARTING SENSODYNE TOOTHBRUSH, THE PATIENT EXPERIENCED HEMORRHAGE (SERIOUS CRITERIA GSK MEDICALLY SIGNIFICANT). THE ACTION TAKEN WITH SENSODYNE TOOTHBRUSH WAS UNKNOWN. ON AN UNKNOWN DATE, THE OUTCOME OF THE HEMORRHAGE WAS UNKNOWN. THE REPORTER CONSIDERED THE HEMORRHAGE TO BE RELATED TO SENSODYNE TOOTHBRUSH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
89376 SENSODYNE TOOTHBRUSH TOOTHBRUSHES EFW M + C SCHIFFER GMBH

Patients

Seq Age Sex Outcome Treatment
1 Other