FDA Adverse Event
Other
Summary report: N
SUNBEAM
MDR report key: 2931500
·
Received January 18, 2012
Report
- Report Number
- 3003862163-2013-00003
- Event Type
- Other
- Date Received
- January 18, 2012
- Date of Event
- March 31, 2012
- Report Date
- January 17, 2013
- Manufacturer
- SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTIONS
- Product Code
- KFZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- ATTORNEY
Narratives
Additional Manufacturer Narrative · 1
ON (B)(4) 2012, SUNBEAM WAS SERVED WITH A SUMMONS AND COMPLAINT ALLEGING A HUMIDIFIER CAUSED A FIRE AND RESULTED IN PROPERTY DAMAGE AND PERSONAL INJURY. ON (B)(6)2012, PLAINTIFF'S COUNSEL STATES THAT A CHILD SUFFERED MINOR SMOKE INHALATION AND IT IS UNK IF ANY MEDICAL TREATMENT WAS SOUGHT. ON (B)(4) 2013, SUNBEAM WAS SERVED WITH A SUBROGATION CLAIM FOR PROPERTY DAMAGES FOR THE SAME INCIDENT.
Description of Event or Problem · 1
COMPLAINT ALLEGES THE PLAINTIFF AWOKE TO HEAVY SMOKE AND A FIRE IN THE DAUGHTER'S ROOM AND IT ORIGINATED FROM A HUMIDIFIER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SUNBEAM | HUMIDIFIER | KFZ | SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTIONS | SWM2411 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |