BEUDAMED
    FDA Adverse Event Other Summary report: N

    VICKS

    MDR report key: 4170592 · Received September 24, 2014

    Report

    Report Number
    1314800-2014-00070
    Event Type
    Other
    Date Received
    September 24, 2014
    Date of Event
    September 12, 2014
    Report Date
    September 22, 2014
    Manufacturer
    KAZ, INC.
    Product Code
    KFZ
    PMA / PMN Number
    EXEMPT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER CALLED TO REPORT THAT SHE KNOCKED THE UNIT OVER, AND RECEIVED SECOND DEGREE BURNS ON HER FOOT FROM THE HOT WATER THAT SPILLED OUT OF THE PERSONAL STEAM INHALER. THE PROPER USE INSTRUCTIONS STATE TO ONLY USE THE UNIT ON A FIRM LEVEL SURFACE TO AVOID SPILLING THE WATER. MEDICAL INTERVENTION WAS REQUIRED FOR THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    595996 VICKS HUMIDIFIER KFZ KAZ, INC. V1200 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other