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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BRAUN GMBH WERK MARKTHEIDENFELD ORALBPWRPWRORALCARERFLS3DWHITE3743BRUSHSET2CT; TOOTHBRUSH, POWERED - JEQ

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BRAUN GMBH WERK MARKTHEIDENFELD ORALBPWRPWRORALCARERFLS3DWHITE3743BRUSHSET2CT; TOOTHBRUSH, POWERED - JEQ Back to Search Results
Model Number 3743
Device Problems Crack (1135); Material Fragmentation (1261)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
Product return was requested but not received so far.Full evaluation will occur upon receipt of returned product.
 
Event Description
Tiny metal piece falling out of the oral-b brush head/cracked, loose in mouth [device breakage].Case narrative: consumer via e-mail stated that a tiny metal piece fell out of the oral-b toothbrush head midway through brushing.No injury was reported.(b)(6) 2022 follow up via image: the suspect product lot was 470413200.No injury was reported.
 
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Brand Name
ORALBPWRPWRORALCARERFLS3DWHITE3743BRUSHSET2CT
Type of Device
TOOTHBRUSH, POWERED - JEQ
Manufacturer (Section D)
BRAUN GMBH WERK MARKTHEIDENFELD
40 baumhofstrasse
marktheidenfeld D-978 28
GM  D-97828
Manufacturer (Section G)
BRAUN GMBH WERK MARKTHEIDENFELD
40 baumhofstrasse
marktheidenfeld D-978 28
GM   D-97828
Manufacturer Contact
mgr. affairs, oral care-see co
mason business center 8700
mason-montgomery rd
mason 45040
MDR Report Key15129604
MDR Text Key302327960
Report Number3000302531-2022-00288
Device Sequence Number1
Product Code JEQ
Combination Product (y/n)Y
Reporter Country CodeSN
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Consumer
Reporter Occupation Other
Type of Report Initial
Report Date 07/29/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/29/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model Number3743
Device Lot Number470413200
Was Device Available for Evaluation? No
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Treatment
ORAL-B RECHARGEABLE TOOTHBRUSH, VERSION UNKNOWN (A
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