BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FLOSSOLUTION

    MDR report key: 7991794 · Received October 22, 2018

    Report

    Report Number
    3010872518-2018-00001
    Event Type
    Malfunction
    Date Received
    October 22, 2018
    Date of Event
    September 22, 2018
    Report Date
    October 19, 2018
    Manufacturer
    SHENZHEN RELISH TECHNOLOGY CO.,LTD
    Product Code
    JEQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    003

    Narratives

    Description of Event or Problem · 1

    CONSUMER CALLED OUR CUSTOMER CARE ANSWERING SERVICE AND REPORTED THAT HIS MAX BY FLOSSOLUTION WAS ASSOCIATED WITH A REPORTED ELECTRICAL FIRE ON HIS BATHROOM COUNTERTOP. NO BODILY HARM. LIMITED DAMAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    829398 FLOSSOLUTION MAX BY FLOSSOLUTION JEQ SHENZHEN RELISH TECHNOLOGY CO.,LTD FS7001B/O MX700072916;FSMX701

    Patients

    Seq Age Sex Outcome Treatment
    1