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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS ORAL HEALTHCARE, LLC PHILIPS SONICARE; PHILIPS ONE POWER TOOTHBRUSH

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PHILIPS ORAL HEALTHCARE, LLC PHILIPS SONICARE; PHILIPS ONE POWER TOOTHBRUSH Back to Search Results
Model Number HY120P
Device Problem Overheating of Device (1437)
Patient Problem Headache (1880)
Event Date 03/06/2023
Event Type  malfunction  
Manufacturer Narrative
The event date is approximate.Manufacture date not provided or identifiable.Product was not returned to confirm a malfunction has occurred.
 
Event Description
A consumer reported that a philips one power toothbrush burst into flames which resulted in a headache from burning smell.No serious injury or medical intervention was reported.No property damage was reported.
 
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Brand Name
PHILIPS SONICARE
Type of Device
PHILIPS ONE POWER TOOTHBRUSH
Manufacturer (Section D)
PHILIPS ORAL HEALTHCARE, LLC
22100 bothell everett highway
bothell WA 98021
Manufacturer (Section G)
PHILIPS ORAL HEALTHCARE, LLC
22100 bothell everett highway
bothell WA 98021
Manufacturer Contact
imke overdevest
22100 bothell everett highway
bothell, WA 98021
4254877000
MDR Report Key16612827
MDR Text Key312108531
Report Number3026630-2023-00023
Device Sequence Number1
Product Code JEQ
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberHY120P
Device Catalogue NumberHY1200/05
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 03/06/2023
Initial Date FDA Received03/24/2023
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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