PHILIPS SLIMLINE HEAD PHONES 104885 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-07-21 for PHILIPS SLIMLINE HEAD PHONES 104885 * manufactured by Philips.

Event Text Entries

[16744397] As technician was in the process of putting the acoustic headphones on the patient, the headphones snapped in two pieces right in the patient's face. One of the broken pieces touched the area just to the left of her left eye. The skin was not broken but the patient was visibly upset. ====================== health professional's impression======================the technician stated that this happens frequently and is probably due to cheap plastic.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1770665
MDR Report Key1770665
Date Received2010-07-21
Date of Report2010-07-21
Date of Event2010-07-19
Report Date2010-07-21
Date Reported to FDA2010-07-21
Date Added to Maude2010-07-27
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePHILIPS SLIMLINE HEAD PHONES
Generic NameACOUSTIC HEAD PHONES
Product CodeEWE
Date Received2010-07-21
Model Number104885
Catalog Number*
Lot Number*
ID Number*
OperatorOTHER
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS
Manufacturer Address3000 MINUTEMAN ROAD ANDOVER MA 01810109 US 01810 1099


Patients

Patient NumberTreatmentOutcomeDate
10 2010-07-21

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