BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUNBEAM

    MDR report key: 3023365 · Received March 1, 2013

    Report

    Report Number
    3003862163-2013-00016
    Event Type
    Malfunction
    Date Received
    March 1, 2013
    Date of Event
    January 27, 2013
    Report Date
    March 1, 2013
    Manufacturer
    SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTIONS
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS PRODUCT IS IN THE POSSESSION OF THE INSURANCE COMPANY AND HAS NOT BEEN EXAMINED.

    Description of Event or Problem · 1

    CONSUMER IS ALLEGING HE WAS USING A HUMIDIFIER DURING THE NIGHT AND AWOKE TO FIND SMOKE COMING FROM THE UNIT. HE PICKED IT UP WITH A TOWEL AND MELTED PLASTIC DRIPPED ONTO THE FLOOR WHICH HE STEPPED INTO AND BURNED HIS FOOT. HE DID SEEK MEDICAL ATTENTION. HE TOOK THE HUMIDIFIER OUT TO HIS PORCH AND SHORTLY AFTER IT CAUGHT ON FIRE. THERE WAS DAMAGE TO HIS HARDWOOD FLOOR AND HE HAS MADE A CLAIM WITH HIS INSURANCE COMPANY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    90314 SUNBEAM HUMIDIFIER KFZ SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTIONS SWM5251-CN UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Other