BEUDAMED
    FDA Adverse Event Injury Summary report: N

    REPLACEMENT BRUSH HEADS

    MDR report key: 8758051 · Received July 1, 2019

    Report

    Report Number
    MW5087790
    Event Type
    Injury
    Date Received
    July 1, 2019
    Date of Event
    May 25, 2019
    Report Date
    May 28, 2019
    Manufacturer
    B. BRAUN / PROCTER & GAMBLE CO.
    Product Code
    JEQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    HELLO, I BOUGHT REPLACEMENT BRUSHES FOR MY ORAL B. BRAUN ELECTRIC TOOTHBRUSH A FEW MONTHS AGO VIA (B)(6). FOR THE SECOND TIME, PART OF THE BRUSH FELL OFF IN MY MOUTH. I WAS ABLE TO RECOGNIZE WHAT HAPPENED AND GET THE PART OUT OF MY MOUTH. BUT I SHOULD HAVE TO THINK WHAT COULD HAPPEN IF THIS OCCURRED TO A CHILD OR ELDERLY PERSON WHO DOESN'T KNOW WHAT BROKE IN THEIR MOUTH BEFORE THEY SWALLOWED IT. DOCUMENT NUMBER: (B)(4). REPORT NUMBER: (B)(4). JAYRAY INDUSTRIES, INC. RETAILER: (B)(6). PURCHASE DATE: (B)(6) 2019.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    545089 REPLACEMENT BRUSH HEADS TOOTHBRUSH, POWERED JEQ B. BRAUN / PROCTER & GAMBLE CO. SB-417A BOOEY3M44
    545090 REPLACEMENT BRUSH HEADS TOOTHBRUSH, POWERED JEQ B. BRAUN / PROCTER & GAMBLE CO. SB-417A BOOEY3M44

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR