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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BRAUN GMBH WERK MARKTHEIDENFELD ORAL-B DUALACTION OR DUAL CLEAN BRUSHHEADS; TOOTHBRUSH, POWERED

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BRAUN GMBH WERK MARKTHEIDENFELD ORAL-B DUALACTION OR DUAL CLEAN BRUSHHEADS; TOOTHBRUSH, POWERED Back to Search Results
Lot Number NOT AVAILABLE
Device Problem Detachment Of Device Component (1104)
Patient Problem Injury (2348)
Event Type  malfunction  
Manufacturer Narrative
Return of product has been requested.Product and lot number not provided by the reporter, therefore unable to proceed with product investigation at this time.Full evaluation will occur upon receipt of the returned product.
 
Event Description
Consumer called stating the bottom piece of brush head came off with brushing.No serious injury reported.
 
Manufacturer Narrative
22-jan-2019 product investigation results: product return was received and investigated.Product investigation results showed that the complaint is caused by wear of plastic parts due to usage of abrasive toothpaste in combination with insufficient cleaning.
 
Event Description
Pinched-top lip, right side [lip injury], bump-top lip, right side [lip disorder], the bottom piece that came off with brushing pinched lip - oral b brush head [injury associated with device], the bottom piece head came off with brushing - oral b brush head [device breakage].Consumer called stating the bottom piece of brush head came off with brushing.No serious injury reported.11-aug-2020 internal review found product investigation update from 22-jan-2019: no manufacturing cause identified based on investigation.
 
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Brand Name
ORAL-B DUALACTION OR DUAL CLEAN BRUSHHEADS
Type of Device
TOOTHBRUSH, POWERED
Manufacturer (Section D)
BRAUN GMBH WERK MARKTHEIDENFELD
40 baumhofstrasse
marktheidenfeld, D-978 28
GM  D-97828
MDR Report Key7626160
MDR Text Key112432438
Report Number3000302531-2018-00159
Device Sequence Number1
Product Code JEQ
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,foreign
Type of Report Initial,Followup
Report Date 05/03/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/21/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Lot NumberNOT AVAILABLE
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/17/2018
Was the Report Sent to FDA? No
Date Manufacturer Received01/22/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
ORAL-B POWER RECHARGEABLE TB HANDLE VITALITY; ORAL-B POWER RECHARGEABLE TB HANDLE VITALITY
Patient Age47 YR
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