InjuryEFS
WATER PIK ULTRA
Received Feb 4, 2022 · Event occurred Jan 25, 2022
Report 0001712259-2022-00001 · MDR key 13460245
Device
Generic name
Oral Irrigator
Manufacturer
Water Pik, Inc.Model number
WP-100Catalog number
WP-100W
Lot number
180504CJ
Product problems
- Adverse Event Without Identified Device or Use Problem
Patient
Female
- Tooth Fracture
- Tooth Fracture
Narrative
Description of Event or Problem
CUSTOMER STATED THAT SHE PURCHASED WP-100 FROM LOCAL (B)(6) ON (B)(6) 2019. SHE USES THE UNIT 2-3 TIMES PER WEEK AND WAS USING IT AT PRESSURE LEVEL 10. STATED THAT AS SHE WAS USING IT, THE CROWN/CAP ON HER FROM TOOTH CHIPPED AT AN ANGLE. SHE IS SEEKING A REFUND FOR THE FLOSSER AND POTENTIAL REIMBURSEMENT TO HAVE THE TOOTH FIXED. REFUND FOR UNIT HAS BEEN SUBMITTED AND SHE WILL BE VISITING DENTIST NEXT WEEK TO GET AN ESTIMATE ON COST TO FIX TOOTH.
Remedial action
- Other