WATERPIK WATER FLOSSER WP-660

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-03 for WATERPIK WATER FLOSSER WP-660 manufactured by Water Pik, Inc..

Event Text Entries

[66763980] Unit in question has not been returned for testing and evaluation. Device in question has not been received.
Patient Sequence No: 1, Text Type: N, H10


[66763981] Per the customer, this unit works fine but as i tried to clean it large, amounts of filthy water came out. I saved a sample, it contained clumps of what seemed to be dark algae, black grains, particles of all sorts. I use good municipal water (seacoast water in (b)(6)). I often use an ounce of (b)(6) when flossing with a batch of water. I use warm water mostly. Here in (b)(6) small ants are a problem. Could they have gotten into the internals? I see no ant bodies in the output. The debris that came out when i ran it with the nozzle out was scary and now even trying to clean with peroxide will not give me confidence that i will not have lots of strange material in my waterpik. What can i do? I suspect what is happening to mine is a serious health hazard.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001712259-2017-00001
MDR Report Key6300438
Date Received2017-02-03
Date of Report2017-02-03
Date of Event2017-01-02
Date Mfgr Received2017-01-02
Device Manufacturer Date2013-11-19
Date Added to Maude2017-02-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. ROBERT VANDER VLIET
Manufacturer Street1730 EAST PROSPECT ROAD
Manufacturer CityFORT COLLINS CO 805530001
Manufacturer CountryUS
Manufacturer Postal805530001
Manufacturer Phone9702217063
Manufacturer G1WATER PIK, INC.
Manufacturer Street1730 EAST PROSPECT ROAD
Manufacturer CityFORT COLLINS CO 805530001
Manufacturer CountryUS
Manufacturer Postal Code805530001
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameWATERPIK WATER FLOSSER
Generic NameORAL IRRIGATOR
Product CodeEFS
Date Received2017-02-03
Model NumberWP-660
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerWATER PIK, INC.
Manufacturer Address1730 EAST PROSPECT ROAD FORT COLLINS CO 805530001 US 805530001


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-02-03

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