MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2018-04-11 for PHILIPS SONICARE HX8340 manufactured by Philips Oral Healthcare.
[105324397]
Device manufacturing date not available due to the airfloss not being returned.
Patient Sequence No: 1, Text Type: N, H10
[105324398]
Consumer called stating that the nozzle from their airfloss pro/utra came off the handle and almost went down their throat. No injury reported.
Patient Sequence No: 1, Text Type: D, B5
[119228021]
Additional products returned were evaluated and found to not have any defects or malfunctions: part number: date code: description: hx6100 170412 2b triton base charger; hx803x 170620-01 af 2. 0 interdental nozzle (nozzle #1); hx803x 170620-01 af 2. 0 interdental nozzle (nozzle #2). The root cause of the customer's complaint could not be determined.
Patient Sequence No: 1, Text Type: N, H10
[119228264]
Patient Sequence No: 1, Text Type: N, H10
Report Number | 3026630-2018-00305 |
MDR Report Key | 7422576 |
Report Source | CONSUMER |
Date Received | 2018-04-11 |
Date of Report | 2018-04-07 |
Date of Event | 2018-04-07 |
Date Mfgr Received | 2018-05-08 |
Device Manufacturer Date | 2017-08-08 |
Date Added to Maude | 2018-04-11 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | PATIENT |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MS. TERRI BAUER-RIZZO |
Manufacturer Street | 22100 BOTHELL EVERETT HWY |
Manufacturer City | BOTHELL WA 98021 |
Manufacturer Country | US |
Manufacturer Postal | 98021 |
Manufacturer Phone | 4254828498 |
Manufacturer G1 | PHILIPS ORAL HEALTHCARE |
Manufacturer Street | 22100 BOTHELL EVERETT HWY |
Manufacturer City | BOTHELL WA 98021 |
Manufacturer Country | US |
Manufacturer Postal Code | 98021 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | PHILIPS SONICARE |
Generic Name | AIRFLOSS PRO/ULTRA |
Product Code | EFS |
Date Received | 2018-04-11 |
Returned To Mfg | 2018-05-08 |
Model Number | HX8340 |
Operator | LAY USER/PATIENT |
Device Availability | R |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | PHILIPS ORAL HEALTHCARE |
Manufacturer Address | 22100 BOTHELL EVERETT HWY BOTHELL WA 98021 US 98021 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2018-04-11 |