BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOLMES

    MDR report key: 3802945 · Received May 1, 2014

    Report

    Report Number
    3003862163-2014-00080
    Event Type
    Malfunction
    Date Received
    May 1, 2014
    Report Date
    April 8, 2014
    Manufacturer
    SUNBEAM PRODUCTS, INC.
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ABUSE BY THE CONSUMER FROM FAILURE TO TAKE PREVENTIVE ACTION TO PROPERLY CLEAN THE HUMIDIFIER CAUSED THIS FAILURE.

    Description of Event or Problem · 1

    CONSUMER CLAIMS HIS HUMIDIFIER CAUGHT ON FIRE AND DAMAGED FLOORING. NO INJURIES WERE REPORTED WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    260995 HOLMES HUMIDIFIER KFZ SUNBEAM PRODUCTS, INC. HM5602 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1