FDA Adverse Event
Malfunction
Summary report: N
ORAL-B BRUSHHEADS, VERSION UNKNOWN
MDR report key: 8883410
·
Received August 12, 2019
Report
- Report Number
- 3000302531-2019-00144
- Event Type
- Malfunction
- Date Received
- August 12, 2019
- Report Date
- July 16, 2019
- Manufacturer
- BRAUN GMBH WERK MARKTHEIDENFELD
- Product Code
- JEQ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
PRODUCT RETURN WAS NOT RECEIVED. PRODUCT RETURN WAS REQUESTED. FULL EVALUATION WILL OCCUR UPON RECEIPT OF RETURNED PRODUCT.
Description of Event or Problem · 1
BRUSH HEAD STUCK UNDER TONGUE, STUCK IN BETWEEN MOLAR AND CHEEKS [FOREIGN BODY IN GASTROINTESTINAL TRACT]. ALMOST CHOKING [CHOKING SENSATION]. TOP PART CAME OFF BRUSH HEAD IN MOUTH [DEVICE BREAKAGE]. CASE DESCRIPTION: CONSUMER CALLED STATING THE TOP PART OF THE BRUSH HEAD CAME OFF WHILE BRUSHING AND POPPED INTO HIS MOUTH. NO SERIOUS INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 679012 | ORAL-B BRUSHHEADS, VERSION UNKNOWN | TOOTHBRUSH, POWERED | JEQ | BRAUN GMBH WERK MARKTHEIDENFELD | NOT AVAILABLE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR |