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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMART HOME BRANCH OF ZHANGZHOU EASEPAL INDUSTRIAL HOMEDICS; SHIATSU BODY MASSAGER WITH HEAT

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SMART HOME BRANCH OF ZHANGZHOU EASEPAL INDUSTRIAL HOMEDICS; SHIATSU BODY MASSAGER WITH HEAT Back to Search Results
Model Number SP-6HJ-2
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Burn(s) (1757); Hair Loss (1877)
Event Date 01/30/2023
Event Type  Injury  
Event Description
The end user claimed the following: "i wanted to report how dissatisfied with your homedics neck and back heated massager from walmart.The massager overheated and burned the skin off my back and scalp and burned out my hair.I have plenty of pictures and proof of injury and how your product caused it.I have retained a lawyer and will be filing a lawsuit for my pain and suffered.Product defect.Personal injury with 98% chance of winning.I'm very disappointed but not angry.Just emotional.I had been growing my hair for years.".
 
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Brand Name
HOMEDICS
Type of Device
SHIATSU BODY MASSAGER WITH HEAT
Manufacturer (Section D)
SMART HOME BRANCH OF ZHANGZHOU EASEPAL INDUSTRIAL
1/f-5/f.building5#,no.228 jiao
taiwanese investment zone
zhangzhou, fujian 36310 0
CH  363100
MDR Report Key16410248
MDR Text Key309899553
Report Number1832894-2023-00003
Device Sequence Number1
Product Code ISA
UDI-Device Identifier00031262107145
UDI-Public031262107145
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Distributor
Reporter Occupation Other
Type of Report Initial
Report Date 02/22/2023,02/21/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/21/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Other
Device Model NumberSP-6HJ-2
Device Catalogue NumberSP-6HJ-2
Device Lot Number08/21
Was Device Available for Evaluation? No
Was the Report Sent to FDA? Yes
Date Report Sent to FDA02/22/2023
Distributor Facility Aware Date02/10/2023
Device Age17 MO
Event Location Home
Date Report to Manufacturer02/21/2023
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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