BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOLMES

    MDR report key: 3944469 · Received May 9, 2014

    Report

    Report Number
    3003862163-2014-00084
    Event Type
    Malfunction
    Date Received
    May 9, 2014
    Report Date
    May 8, 2014
    Manufacturer
    SUNBEAM PRODUCTS INC
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS PRODUCT IS IN THE POSSESSION OF THE CONSUMER AND HAS NOT BEEN EXAMINED. A PREPAID LABEL WILL BE SENT TO THE CONSUMER FOR RETURN OF THE PRODUCT.

    Description of Event or Problem · 1

    CONSUMER CLAIMS HER HUMIDIFIER EMITTED A BURNING SMELL AND SHE DISCOVERED A HOLE HAD BURNED THROUGH THE BOTTOM OF THE UNIT. NO INJURIES WERE REPORTED WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    281145 HOLMES HUMIDIFER KFZ SUNBEAM PRODUCTS INC HM410 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1