FDA Adverse Event Injury Summary report: N

HOLMES

MDR report key: 3779388 · Received April 21, 2014

Report

Report Number
3003862163-2014-00074
Event Type
Injury
Date Received
April 21, 2014
Date of Event
March 2, 2014
Report Date
April 21, 2014
Manufacturer
SUNBEAM PRODUCTS, INC.
Product Code
KFZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CONSUMER PLACED THE HUMIDIFIER WITHIN REACH OF A CHILD WHICH IS A MISUSE OF THE PRODUCT AND A DIRECT VIOLATION OF THE INSTRUCTIONS AND WARNINGS PROVIDED.

Description of Event or Problem · 1

CONSUMER IS CLAIMING THAT SHE HAD A HUMIDIFIER SET UP IN HER CHILD'S ROOM AND THE CHILD TRIED MOVING THE HUMIDIFIER CAUSING HOT WATER TO SPILL ON HER LEG. SHE IS ALLEGING THE CHILD SUFFERED SECOND DEGREE BURN ON THIGH, ANKLE AND FOOT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
241843 HOLMES HUMIDIFIER KFZ SUNBEAM PRODUCTS, INC. HM5082 UNK

Patients

Seq Age Sex Outcome Treatment
1 Other