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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BRAUN GMBH WERK MARKTHEIDENFELD ORALBPWRRCHGTOOTHBRUSHHANDLE3762TRIUMPH; TOOTHBRUSH, POWERED - JEQ

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BRAUN GMBH WERK MARKTHEIDENFELD ORALBPWRRCHGTOOTHBRUSHHANDLE3762TRIUMPH; TOOTHBRUSH, POWERED - JEQ Back to Search Results
Model Number 3762
Device Problems Break (1069); Insufficient Information (3190)
Patient Problem Unspecified Tissue Injury (4559)
Event Type  malfunction  
Event Description
Scratch inside mouth.Metal pin has poked cheek/injuries [mouth injury].Falling off - oral-b [device breakage].Case narrative: female consumer via phone stated that the oral-b toothbrush head kept falling off of the oral-b toothbrush.The metal pin poked her cheek a few times, leading to injuries, and scratched the inside of her mouth.No serious injury was reported.
 
Manufacturer Narrative
Product return was requested or its in transport.Evaluation will occur upon receipt of product return.
 
Manufacturer Narrative
18-apr-2023 product investigation results: complained product received user handling was identified as root cause for the complaint.
 
Event Description
Scratch inside mouth/metal pin has poked cheek/injuries [mouth injury] falling off - oral-b [device breakage] case narrative: female consumer via phone stated that the oral-b toothbrush head kept falling off of the oral-b toothbrush.The metal pin poked her cheek a few times, leading to injuries, and scratched the inside of her mouth.No serious injury was reported.27-mar-2023 case update: the suspect product lot was r42650310.The concomitant product lot was 1031.No injury was reported.11-apr-2023 case update from information initially received on 27-mar-2023: the concomitant product was oral-b power power oral care refills precision clean eb20.No injury was reported.20-apr-2023 case update from information initially received on 27-mar-2023: the concomitant product lot was t0319.No injury was reported.
 
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Brand Name
ORALBPWRRCHGTOOTHBRUSHHANDLE3762TRIUMPH
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 ma
son-montgomery rd
mason 45040
MDR Report Key16528604
MDR Text Key311134611
Report Number3000302531-2023-00108
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 05/16/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/13/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model Number3762
Device Lot NumberR42650310
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
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 Unknown
Patient Sequence Number1
Treatment
ORAL-B BRUSHHEADS, VERSION UNKNOWN (NOT APPLICABLE; ORALBPWRPWRORALCARERFLSPRECISIONCLEANEB20 (ORAL-B
Patient SexFemale
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