FDA Adverse Event Malfunction Summary report: N

PHILIPS SONICARE

MDR report key: 19297410 · Received May 13, 2024

Report

Report Number
3026630-2024-00025
Event Type
Malfunction
Date Received
May 13, 2024
Date of Event
April 9, 2024
Report Date
June 25, 2024
Manufacturer
PHILIPS ORAL HEALTHCARE, LLC
Product Code
EFS
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

ON (B)(6) 2024, PHILIPS ORAL HEALTH CARE DETERMINED THAT THE ALLEGATION OF GETTING HOT AND LOOKS BURNED DOWN IS NOT LIKELY TO CONTRIBUTE TO DEATH OR SERIOUS INJURY IF IT WERE TO REOCCUR. THESE CASES ARE NOW DETERMINED TO BE NOT REPORTABLE. THE RESIDUAL RISK EVALUATED IN RMM D000578795 (PID_4A) RELATED TO (MELTING OR BURNT APPEARANCE), CONSIDERS FOR THE S3 (SERIOUS INJURY) POH <1 PPB (IMPROBABLE/NOT EXPECTED TO OCCUR) AND FOR S4 (DEATH) POH IS<1 PPB (IMPROBABLE/NOT EXPECTED TO OCCUR).

Additional Manufacturer Narrative · 0

THE EVENT DATE IS APPROXIMATE. PRODUCT WAS NOT RETURNED TO CONFIRM A MALFUNCTION HAS OCCURRED.

Description of Event or Problem · 0

ON (B)(6) 2024, PHILIPS ORAL HEALTH CARE DETERMINED THAT THE ALLEGATION OF GETTING HOT AND LOOKS BURNED DOWN IS NOT LIKELY TO CONTRIBUTE TO DEATH OR SERIOUS INJURY IF IT WERE TO REOCCUR. THESE CASES ARE NOW DETERMINED TO BE NOT REPORTABLE. THE RESIDUAL RISK EVALUATED IN RMM D000578795 (PID_4A) RELATED TO (MELTING OR BURNT APPEARANCE), CONSIDERS FOR THE S3 (SERIOUS INJURY) POH <1 PPB (IMPROBABLE/NOT EXPECTED TO OCCUR) AND FOR S4 (DEATH) POH IS<1 PPB (IMPROBABLE/NOT EXPECTED TO OCCUR).

Description of Event or Problem · 0

THE CONSUMER REPORTED THAT THE YANGTZE POWER FLOSSER IS GETTING HOT AND LOOKS BURNED DOWN. A POTENTIAL SAFETY HAZARD WAS IDENTIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
450361 PHILIPS SONICARE YANGTZE POWER FLOSSER EFS PHILIPS ORAL HEALTHCARE, LLC

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown