BEUDAMED
    FDA Adverse Event Other Summary report: N

    VICKS

    MDR report key: 3022480 · Received March 15, 2013

    Report

    Report Number
    1314800-2013-00015
    Event Type
    Other
    Date Received
    March 15, 2013
    Date of Event
    March 1, 2012
    Report Date
    March 7, 2012
    Manufacturer
    KAZ, INC.
    Product Code
    KFZ
    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 CALLED TO REPORT THAT HER BOYFRIEND WAS BURNED BY HOT WATER THAT SPILLED OUT OF THE PERSONAL STEAM INHALER. SHE REPORTED HE WAS KNOCKED INTO THE UNIT WHICH CAUSED THE SPILL. THE PROPER USE INSTRUCTIONS STATE TO ONLY USE THE UNIT ON A FIRM LEVEL SURFACE TO AVOID SPILLING THE WATER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    110951 VICKS HUMIDIFIER KFZ KAZ, INC. V1200 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other