PHILIPS SONICARE, UV SANITIZER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04,07 report with the FDA on 2011-12-21 for PHILIPS SONICARE, UV SANITIZER manufactured by Philips Oral Healthcare.

Event Text Entries

[2400883] Customer claims that the light on the uv sanitizer popped up and cut his younger brother on the cheek. Customer stated that they took their brother to the doctor and that the small cut just needed to be "patched up".
Patient Sequence No: 1, Text Type: D, B5


[9682234] On (b)(4) 2011, contact phone number provided by consumer is not in service. Sent a letter, as well as an email, to the consumer in effort to gather more info on the incident and to request that the unit be returned for eval.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3026630-2011-00002
MDR Report Key2395300
Report Source04,07
Date Received2011-12-21
Date of Report2011-12-21
Date of Event2011-11-21
Date Mfgr Received2011-11-21
Date Added to Maude2012-07-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactTODD BANDY, SR. MGR QUALITY SY
Manufacturer StreetBOTHELL EVERETT HWY 22100 BLDG A
Manufacturer CityBOTHELL WA 98021
Manufacturer CountryUS
Manufacturer Postal98021
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePHILIPS SONICARE, UV SANITIZER
Generic NameNONE
Product CodeNOB
Date Received2011-12-21
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS ORAL HEALTHCARE
Manufacturer AddressBOTHELL WA US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2011-12-21

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