BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PHILIPS SONICARE

    MDR report key: 11639278 · Received April 8, 2021

    Report

    Report Number
    3026630-2021-10009
    Event Type
    Injury
    Date Received
    April 8, 2021
    Date of Event
    April 3, 2021
    Manufacturer
    PHILIPS ORAL HEALTHCARE, LLC
    Product Code
    JEQ
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 0

    B5: CORRECTION: DESCRIBE EVENT OR PROBLEM FROM "THE CONSUMER REPORTED THAT THEIR DAYTONA POWER TOOTHBRUSH DEVICE CAUGHT ON FIRE. THERE WAS NO INDICATED VISIBLE FLAME OR PROPERTY DAMAGE AND NO INJURY REPORTED." TO "THE CONSUMER REPORTED THAT THEIR PHILIPS ONE POWER TOOTHBRUSH DEVICE CAUGHT ON FIRE. THERE WAS NO INDICATED VISIBLE FLAME OR PROPERTY DAMAGE AND NO INJURY REPORTED." D2A: CORRECTION: COMMON DEVICE NAME FROM "DAYTONA POWER TOOTHBRUSH" TO "PHILIPS ONE POWERED TOOTHBRUSH". D4: THE DEVICE SERIAL NUMBERS OR MANUFACTURING NUMBERS WERE IDENTIFIED AND UPDATED. H4: MANUFACTURE DATE WAS IDENTIFIED AND UPDATED. ANALYSIS RESULTS: THE ROOT CAUSE OF THE CUSTOMER'S COMPLAINT WAS A BURNT CHARGING CABLE.

    Description of Event or Problem · 0

    THE CONSUMER REPORTED THAT THEIR PHILIPS ONE POWER TOOTHBRUSH DEVICE CAUGHT ON FIRE. THERE WAS NO INDICATED VISIBLE FLAME OR PROPERTY DAMAGE AND NO INJURY REPORTED.

    Additional Manufacturer Narrative · 1

    THE EVENT DATE IS APPROXIMATE. THE DEVICE SERIAL NUMBERS OR MANUFACTURING NUMBERS WERE NOT PROVIDED. MANUFACTURE DATE NOT PROVIDED OR IDENTIFIABLE.

    Description of Event or Problem · 1

    THE CONSUMER REPORTED THAT THEIR DAYTONA POWER TOOTHBRUSH DEVICE CAUGHT ON FIRE. THERE WAS NO INDICATED VISIBLE FLAME OR PROPERTY DAMAGE AND NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    530200 PHILIPS SONICARE PHILIPS ONE POWERED TOOTHBRUSH JEQ PHILIPS ORAL HEALTHCARE, LLC HY1200

    Patients

    Seq Age Sex Outcome Treatment
    1