BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VICKS

    MDR report key: 292364 · Received August 7, 2000

    Report

    Report Number
    MW4002835
    Event Type
    Malfunction
    Date Received
    August 7, 2000
    Date of Event
    March 18, 2000
    Report Date
    August 3, 2000
    Manufacturer
    KAZ
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    CONSUMER WALKED INTO CHILD'S ROOM AND FOUND IT FILLED WITH SMOKE FROM THE VAPORIZER (HAD BEEN ON APPROXIMATELY 30 MINS). CONSUMER UNPLUGGED THE VAPORIZER AND REMOVED CHILD FROM THE ROOM. CONSUMER OPENED THE WINDOWS TO AIR OUT THE ROOM AND PLACED THE VAPORIZER (WHICH WAS HOT TO THE TOUCH) OUTSIDE. NO INJURIES OR PROPERTY DAMAGE. CONSUMER CONTACTED THE MFR AND EXPLAINED THE INCIDENT TO A REP (NAME UNKNOWN). REP TOLD THE CONSUMER THAT A MANAGER (NAME UNKNOWN) WOULD BE CALLING REGARDING THE VAPORIZER (UNKNOWN WHEN). CONSUMER NEVER RECEIVED A RESPONSE. CONSUMER FEELS THAT THE VAPORIZER CAN BE A FIRE HAZARD. VAPORIZER BURNED THE INSIDE OF THE HEATING ELEMENT. DATE PURCHASED 1/2000, AGE 2 MOS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VICKS ELECTRICAL VAPORIZER 110 V, 5.8 AMPS KFZ KAZ 99A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO