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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BRAUN GMBH WERK MARKTHEIDENFELD ORALBPWRPWRORALCARERFLSPWRPLSHREB17SBRUSHSET1CT; TOOTHBRUSH, POWERED - JEQ

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BRAUN GMBH WERK MARKTHEIDENFELD ORALBPWRPWRORALCARERFLSPWRPLSHREB17SBRUSHSET1CT; TOOTHBRUSH, POWERED - JEQ Back to Search Results
Model Number EB17S
Device Problem Misconnection (1399)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
The reporter informed the company that the product has been discarded.
 
Event Description
Brush head came loose - oral-b [device connection issue].Case narrative: male consumer via e-mail stated that the oral-b flexisoft replacement brush heads came loose from his oral-b toothbrush after just a short period of time.No injury was reported.
 
Manufacturer Narrative
(b)(6)2022 product investigation results: product return was received and identified as a non-genuine oral-b product, it was not manufactured under p&g control.
 
Event Description
Brush head came loose - oral-b [device connection issue] product counterfeit - oral-b [product counterfeit] case narrative: male consumer via e-mail stated that the oral-b flexisoft replacement brush heads came loose from his oral-b toothbrush after just a short period of time.No injury was reported.(b)(6)2022 product investigation results: the product involved was confirmed to be a counterfeit, so the product problem will be removed from the oral-b toothbrush head refill.No injury was reported.
 
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Brand Name
ORALBPWRPWRORALCARERFLSPWRPLSHREB17SBRUSHSET1CT
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 Key15658153
MDR Text Key306881536
Report Number3000302531-2022-00386
Device Sequence Number1
Product Code JEQ
Combination Product (y/n)Y
Reporter Country CodeGM
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Consumer
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 11/15/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberEB17S
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received Not provided
Initial Date FDA Received10/24/2022
Supplement Dates Manufacturer ReceivedNot provided
Supplement Dates FDA Received11/16/2022
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Treatment
ORAL-B RECHARGEABLE TOOTHBRUSH, VERSION UNKNOWN (A; ORAL-B RECHARGEABLE TOOTHBRUSH, VERSION UNKNOWN (A
Patient SexMale
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