FDA Adverse Event Malfunction Summary report: N

CVS PWTB 1G W/EF II VIP

MDR report key: 7964819 · Received October 15, 2018

Report

Report Number
1825660-2018-00433
Event Type
Malfunction
Date Received
October 15, 2018
Date of Event
October 2, 2018
Report Date
October 15, 2018
Manufacturer
RANIR LLC
Product Code
JEQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CONSUMER STATED THE TOOTHBRUSH NOT HAVE A LOT OF TORQUE AND THE HEAD VIBRATES ERRATICALLY. CONSUMER CLAIMED THE TOOTHBRUSH KNOCKED A FILLING LOOSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
804578 CVS PWTB 1G W/EF II VIP TOOTHBRUSH, POWERED JEQ RANIR LLC PWTB 1G W/EF II VIP

Patients

Seq Age Sex Outcome Treatment
1