BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KAZ INC

    MDR report key: 138340 · Received December 5, 1997

    Report

    Report Number
    1314800-1997-90010
    Event Type
    Injury
    Date Received
    December 5, 1997
    Date of Event
    November 3, 1997
    Report Date
    December 4, 1997
    Manufacturer
    KAZ INC.
    Product Code
    CAD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    CONSUMER WAS USING CO'S VAPORIZER IN HER SON'S BEDROOM. DURING THE NIGHT, HER SON GOT UP AND TRIPPED OVER THE CORD. HE THEN PICKED UP THE VAPORIZERAND TRIED TO MOVE IT BACK TO WHERE IT WAS AND DROPPED IT. HE REC'D A SECOND DEGREE BURN ON HIS LEFT FOOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KAZ INC VAPORIZER CAD KAZ INC. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention