FDA Adverse Event
Malfunction
Summary report: N
PLACKERS MTH GD GNM
MDR report key: 8515710
·
Received April 15, 2019
Report
- Report Number
- 1825660-2019-00537
- Event Type
- Malfunction
- Date Received
- April 15, 2019
- Date of Event
- March 28, 2019
- Report Date
- April 15, 2019
- Manufacturer
- RANIR LLC
- Product Code
- OBR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CONSUMER CLAIMED HE/SHE SWALLOWED THE GRIND NO MORE. HE WENT TO HIS DOCTOR AND SHOWED THE SAME PRODUCT TO THE DOCTOR, AND HE TOLD ME "EASY AND WAITING FOR IT EXHAUST." CONSUMER DIDN'T CONFIRM IF THE GUARD WAS FOUND.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 309392 | PLACKERS MTH GD GNM | MOUTHGUARD, OVER-THE-COUNTER | OBR | RANIR LLC | MTH GD GNM 10CT | 27029 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |