BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FLOSSOLUTION

    MDR report key: 8550656 · Received April 25, 2019

    Report

    Report Number
    3010872518-2019-00002
    Event Type
    Malfunction
    Date Received
    April 25, 2019
    Date of Event
    March 25, 2019
    Report Date
    April 25, 2019
    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 CONTACTED OUR CUSTOMER CARE DEPARTMENT AND REPORTED THAT HER MAX BY FLOSSOLUTION WAS ASSOCIATED WITH A NON FLAMING FIRE IN HER BATHROOM. NO BODILY HARM. NO DAMAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    345504 FLOSSOLUTION MAX BY FLOSSOLUTION JEQ SHENZHEN RELISH TECHNOLOGY CO., LTD FS7001B/O MX700072916;FSMX701

    Patients

    Seq Age Sex Outcome Treatment
    1