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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CHURCH & DWIGHT CO., INC A AND H SPINBRUSH UNSPECIFIED

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CHURCH & DWIGHT CO., INC A AND H SPINBRUSH UNSPECIFIED Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Tooth Fracture (2428)
Event Type  Injury  
Event Description
This spontaneous report (2022-cdw-01631, 007647728a) from the united states of america was reported by a male consumer (age unspecified) who experienced chipped tooth coincident with the a and h spinbrush unspecified.The consumer's medical history and concomitant medications were not reported.On an unspecified date, the consumer initiated the a and h spinbrush unspecified via the dental route.While using it, he got his tooth chipped.No additional information was available.The action taken with a and h spinbrush unspecified and the outcome of the event chipped tooth was unknown.
 
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Brand Name
A AND H SPINBRUSH UNSPECIFIED
Type of Device
A AND H SPINBRUSH UNSPECIFIED
Manufacturer (Section D)
CHURCH & DWIGHT CO., INC
469 north harrison street
princeton NJ 08543
Manufacturer (Section G)
CHURCH & DWIGHT CO., INC
500 charles ewing boulevard
ewing NJ 08268
Manufacturer Contact
jon evison
469 north harrison street
princeton, NJ 08543
MDR Report Key15767428
MDR Text Key303394720
Report Number2280705-2022-01631
Device Sequence Number1
Product Code JEQ
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Other
Type of Report Initial
Report Date 10/30/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/10/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Was Device Available for Evaluation? No
Date Manufacturer Received10/30/2022
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 Reuse
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient SexMale
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