BEUDAMED
    FDA Adverse Event Other Summary report: N

    VICKS

    MDR report key: 2469285 · Received February 14, 2012

    Report

    Report Number
    1314800-2012-00007
    Event Type
    Other
    Date Received
    February 14, 2012
    Date of Event
    January 26, 2012
    Report Date
    February 8, 2012
    Manufacturer
    KAZ INC
    Product Code
    BTT
    PMA / PMN Number
    EXEMPT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER REPORTED THE WATER TANK OF THE HUMIDIFIER MELTED AND CAUSED BOILING WATER TO HOURS HIS FOOT. THE CONSUMER FILLED THE TANK WITH BOILING WATER CAUSING THE PLASTIC TO DEFORM. THE OWNERS MANUAL FOR THIS UNIT CLEARLY STATES TO ONLY USE COOL WATER IN THE TANK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VICKS HUMIDIFIER BTT KAZ INC V3850 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other