FDA Adverse Event Summary report: N

LIFEFACTORY SILICONE TEETHING RING

MDR report key: 8922696 · Received August 21, 2019

Report

Report Number
MW5089242
Date Received
August 21, 2019
Date of Event
July 1, 2019
Report Date
July 28, 2019
Manufacturer
UNK
Product Code
KKO
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND

Narratives

Description of Event or Problem · 1

MY SON HAD BEEN USING THIS TEETHING RING. WHEN HE TWISTED IT AROUND, I COULD SEE CRACKS IN IT. UPON INSPECTING IT, I FOUND ONE SMALL PIECE OF IT IS MISSING AND THERE ARE CRACKS ALL AROUND IT. LIGHT GREEN, MANUFACTURED DATE: 11/2013. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
712643 LIFEFACTORY SILICONE TEETHING RING RING, TEETHING, FLUID-FILLED KKO UNK

Patients

Seq Age Sex Outcome Treatment
1