Brand Name | ORALBPWRORALCARERFLSPRECISIONCLEANEB25BRUSHSET8CT |
Type of Device | TOOTHBRUSH, POWERED - JEQ |
Manufacturer (Section G) |
UNSPECIFIED MANUFACTURER |
unspecified address |
|
unspecified city |
|
Manufacturer Contact |
mgr.
affairs, oral care-see co
|
mason business center
8700 ma |
son-montgomery rd |
mason 45040
|
|
MDR Report Key | 19213032 |
MDR Text Key | 342044086 |
Report Number | 3000302531-2024-00204 |
Device Sequence Number | 1 |
Product Code |
JEQ
|
Combination Product (y/n) | Y |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Consumer |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
04/26/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 04/30/2024 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Model Number | EB25 |
Device Lot Number | 99345924 |
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 |
Reuse
|
Patient Sequence Number | 1 |
Treatment | ORALBRCHGTOOTHBRUSHHANDLE (ORAL-B/RECHARGEABLE TOO |
Patient Age | 73 YR |
Patient Sex | Female |