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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BRAUN GMBH WERK MARKTHEIDENFELD ORALBRCHGTOOTHBRUSHHANDLE3767SMARTSRSCROSSACTN4000MODELD601.524.3; TOOTHBRUSH, POWERED - JEQ

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BRAUN GMBH WERK MARKTHEIDENFELD ORALBRCHGTOOTHBRUSHHANDLE3767SMARTSRSCROSSACTN4000MODELD601.524.3; TOOTHBRUSH, POWERED - JEQ Back to Search Results
Model Number D601.524.3
Device Problem Insufficient Information (3190)
Patient Problems Hemorrhage/Bleeding (1888); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Type  malfunction  
Event Description
Bleeding - cheek - mouth [mouth haemorrhage].Spike went into me cheek.Left a mark - mouth [oral macule].Brush end came off / doesn't seem as secure as it was - oral-b [device breakage].Case narrative: male consumer via e-mail reported that while using his oral-b smart 4000n toothbrush, the end came off and the spike went into his cheek causing bleeding and a mark where the steel entered.He reported that it did not seem as secure as it was from new.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
On 06-nov-2023 product investigation results: product return was received and evaluated.No failure could be identified, the product is according to specifications.
 
Event Description
Bleeding - cheek - mouth [mouth haemorrhage].Spike went into me cheek, left a mark - mouth [oral macule].Brush end came off / doesn't seem as secure as it was - oral-b [device breakage].Case narrative: male consumer via e-mail reported that while using his oral-b smart 4000n toothbrush, the end came off and the spike went into his cheek causing bleeding and a mark where the steel entered.He reported that it did not seem as secure as it was from new.No serious injury was reported.On 09-oct-2023 case update: the suspect product lot number was 3cb31941739.No serious injury was reported.
 
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Brand Name
ORALBRCHGTOOTHBRUSHHANDLE3767SMARTSRSCROSSACTN4000MODELD601.524.3
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 Key17885086
MDR Text Key325075067
Report Number3000302531-2023-00430
Device Sequence Number1
Product Code JEQ
Combination Product (y/n)Y
Reporter Country CodeUK
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 11/14/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberD601.524.3
Device Lot Number3CB31941739
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 Received10/06/2023
Supplement Dates Manufacturer ReceivedNot provided
Supplement Dates FDA Received11/22/2023
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/POWER ORAL CARE REFILLS/CROSS ACTION (),; ORAL-B/POWER ORAL CARE REFILLS/CROSS ACTION (),
Patient SexMale
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