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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS ORAL HEALTHCARE, LLC PHILIPS SONICARE; PRESTIGE 9900 TOOTHBRUSH

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PHILIPS ORAL HEALTHCARE, LLC PHILIPS SONICARE; PRESTIGE 9900 TOOTHBRUSH Back to Search Results
Model Number HX9990
Device Problem Excessive Heating (4030)
Patient Problem Skin Inflammation/ Irritation (4545)
Event Date 10/24/2023
Event Type  malfunction  
Manufacturer Narrative
Product was not returned to confirm a malfunction has occurred.
 
Event Description
It was reported that the charger was very hot and caused minor damage to the floor and skin irritation.
 
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Brand Name
PHILIPS SONICARE
Type of Device
PRESTIGE 9900 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
ellen patterson
22100 bothell everett highway
bothell, WA 98021
4254877000
MDR Report Key18035665
MDR Text Key326942044
Report Number3026630-2023-00082
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 NumberHX9990
Device Catalogue NumberHX9990/12
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 10/24/2023
Initial Date FDA Received10/30/2023
Was Device Evaluated by Manufacturer? No
Date Device Manufactured06/16/2021
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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