H2OFLOSS ORAL IRRIGATOR MODEL HF-9 WHISPER NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-15 for H2OFLOSS ORAL IRRIGATOR MODEL HF-9 WHISPER NA manufactured by Shenzhen Bft Electrical Applianc/ Shenzhen Baofengtong Electrical Appliances Manufacturing Co..

Event Text Entries

[175696001] I saw black mold inside the clear flossing tube. I looked in the manual, and there are no instructions for cleaning the long white tube that provides water, or the clear tubes that feed the tip of the h2ofloss water dental flosser. I tried running soapy water, then hydrogen peroxide through it. It did not help. Fda safety report id # (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092265
MDR Report Key9595887
Date Received2020-01-15
Date of Report2020-01-13
Date of Event2019-12-11
Date Added to Maude2020-01-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameH2OFLOSS ORAL IRRIGATOR MODEL HF-9 WHISPER
Generic NameUNIT, ORAL IRRIGATION
Product CodeEFS
Date Received2020-01-15
Model NumberHF-9
Catalog NumberNA
Lot NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSHENZHEN BFT ELECTRICAL APPLIANC/ SHENZHEN BAOFENGTONG ELECTRICAL APPLIANCES MANUFACTURING CO.


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-15

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