BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUNBEAM

    MDR report key: 3040610 · Received March 13, 2013

    Report

    Report Number
    3003862163-2013-00026
    Event Type
    Malfunction
    Date Received
    March 13, 2013
    Report Date
    March 13, 2013
    Manufacturer
    SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTION
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A PREPAID LABEL WAS SENT TO THE CONSUMER FOR RETURN OF THE PRODUCT. THE CONSUMER HAS NOT RETURNED THE PRODUCT.

    Description of Event or Problem · 1

    CONSUMER IS ALLEGING THAT HER HUMIDIFIER WAS PLACED ON A PLASTIC PLATE WHILE IN USE. THE HUMIDIFIER CAUGHT FIRE AND DAMAGED THE CARPET. THERE WAS NOT A REPORT OF INJURY WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    106313 SUNBEAM HUMIDIFIER KFZ SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTION SWM6002-UM UNK

    Patients

    Seq Age Sex Outcome Treatment
    1