MAUDE Adverse Event Report: WATERPIK WATERPLK; WATERPIK MODEL WP100W

Model Number WPI00W

Device Problem Protective Measures Problem (3015)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Date 08/21/2015

Event Type  Other  

Event Description

I purchased a new waterpik appliance this year.I have had several in the past.I noticed this one was very light compared to the others.When in use, it slides across the counter and if not grabbed (while flossing) would land in the sink.It is plugged into the wall so i consider it a shock hazard.I contacted waterpik and they told me to put a rag under the appliance.Can you imagine that? something should be done to make it more stable.I had to put a cork hot plate under it to keep it still.(b)(4).

• Brand Name: WATERPLK
• Type of Device: WATERPIK MODEL WP100W
• Manufacturer (Section D): WATERPIK
• MDR Report Key: 5061625
• MDR Text Key: 25283220
• Report Number: MW5056018
• Device Sequence Number: 1
• Product Code: EFS
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Patient
• Report Date: 08/23/2015

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 09/02/2015
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: No
• Device Operator: No Information
• Device Model Number: WPI00W
• Was Device Available for Evaluation?: Yes
• Type of Device Usage: N
• Patient Sequence Number: 1
• Patient Age: 71 YR