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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS ORAL HEALTHCARE, LLC PHILIPS SONICARE; DIAMONDCLEAN SMART ACCESSORY CHARGER

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PHILIPS ORAL HEALTHCARE, LLC PHILIPS SONICARE; DIAMONDCLEAN SMART ACCESSORY CHARGER Back to Search Results
Model Number HX992B
Device Problem Appropriate Term/Code Not Available (3191)
Patient Problem Laceration(s) (1946)
Event Date 02/14/2023
Event Type  Injury  
Manufacturer Narrative
The event date is approximate.The consumer phone number was not provided.The complaint was received from a consumer in the netherlands.Product was not returned to confirm a malfunction has occurred.
 
Event Description
A consumer reported that while opening their parcel, a glass splinter from the diamondclean smart accessory charger got stuck in their finger.The consumer went to their general practitioner doctor whom recommended surgical intervention be required to remove the glass from the finger.Three contact attempts were made to the consumer to gather more information regarding this incident.No further information was provided as the consumer was not able to be reached.This case is being reported the based on the initial information provided.
 
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Brand Name
PHILIPS SONICARE
Type of Device
DIAMONDCLEAN SMART ACCESSORY CHARGER
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 Key16504541
MDR Text Key310899098
Report Number3026630-2023-00013
Device Sequence Number1
Product Code JEQ
Combination Product (y/n)N
Reporter Country CodeNL
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,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? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model NumberHX992B
Device Catalogue NumberHX9917/89
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 02/14/2023
Initial Date FDA Received03/08/2023
Was Device Evaluated by Manufacturer? No
Date Device Manufactured04/16/2022
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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