inforMED
InjuryEFS

WATER PIK CORDLESS SELECT WATER FLOSSER

Received May 6, 2021 · Event occurred Apr 28, 2021

Report 1712259-2021-00001 · MDR key 11784093

Device

Generic name

Oral Irrigator

Manufacturer

Water Pik Inc

Model number

WF-10W010

Catalog number

WF-10W010

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Failure of Implant
  • Failure of Implant

Narrative

Description of Event or Problem

CUST STATED THAT THE UNIT HAS CAUSED HER CROWN TO FALL OUT. STATED THAT THE CROWN WAS IN GOOD REPAIR AND NOT OLD. INITIAL CONTACT OCCURRED (B)(6) 2021; CUSTOMER INDICATED THEY WOULD PROVIDE DOCUMENTATION FROM DENTAL PROFESSIONAL THAT SUBSTANTIATES THEIR CLAIM. UNIT WAS RECEIVED BEFORE CUSTOMER COULD PROVIDE DOCUMENTATION. HAS REACHED OUT TO DENTIST BUT HAS NOT PROVIDED ANY PAPERWORK OR INFO ON WHAT THE DENTIST HAS SAID.