inforMED
InjuryEFS

WATER PIK SONIC FUSION

Received Dec 21, 2022 · Event occurred Dec 9, 2022

Report 0001712259-2022-00012 · MDR key 16024555

Device

Generic name

Oral Irrigator

Manufacturer

Water Pik Inc.

Model number

SF-03

Lot number

210816AP

Product problems

  • Mechanical Problem
  • Mechanical Problem

Patient

Male

  • Skin Inflammation/ Irritation
  • Skin Inflammation/ Irritation

Narrative

Description of Event or Problem

CUSTOMER CLAIMS USE OF SONIC FUSION CAUSE INJURY TO ROOF OF MOUTH. CUSTOMER CLAIMS INCIDENT REQUIRED VISIT TO EMERGENCY ROOM AND TREATMENT. CUSTOMER IS SEEKING REIMBURSEMENT BUT HAS BEEN UNABLE/ UNWILLING TO PROVIDE ANY MEDICAL DOCUMENTATION, ETC. CUSTOMER NOTIFIED PRODUCT RETURN IS REQUIRED TO SUPPORT CLAIM.

Remedial action

  • Other