BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOLMES

    MDR report key: 3788512 · Received April 3, 2014

    Report

    Report Number
    3003862163-2014-00063
    Event Type
    Malfunction
    Date Received
    April 3, 2014
    Report Date
    April 3, 2014
    Manufacturer
    SUNBEAM PRODUCTS INC
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

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

    Description of Event or Problem · 1

    CONSUMER ALLEGES HIS HUMIDIFIER STARTED SMOKING AND STOPPED WORKING. NO INJURIES OR PROPERTY DAMAGES WERE REPORTED WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    201738 HOLMES HUMIDIFIER KFZ SUNBEAM PRODUCTS INC HWM6000 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1