BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SONICARE

    MDR report key: 6840496 · Received September 1, 2017

    Report

    Report Number
    3026630-2017-00133
    Event Type
    Malfunction
    Date Received
    September 1, 2017
    Date of Event
    August 30, 2017
    Report Date
    August 31, 2017
    Manufacturer
    PHILIPS ORAL HEALTHCARE
    Product Code
    JEQ
    PMA / PMN Number
    EXEMPT
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATED RECENTLY PURCHASED TOOTHBRUSH HEADS FOR MY (B)(6) AND THE BRISTLES HAVE CONTINUOUSLY FALLEN OUT WHILE BRUSHING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    618304 SONICARE PLAQUE CONTROL BRUSH HEAD JEQ PHILIPS ORAL HEALTHCARE HX9023

    Patients

    Seq Age Sex Outcome Treatment
    1