FDA Adverse Event
Injury
Summary report: N
NUK
MDR report key: 5331726
·
Received December 29, 2015
Report
- Report Number
- 2110540-2015-00001
- Event Type
- Injury
- Date Received
- December 29, 2015
- Date of Event
- November 29, 2015
- Report Date
- December 29, 2015
- Manufacturer
- NUK USA LLC
- Product Code
- KFZ
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- GA, US
- Reporter Occupation
- ATTORNEY
Narratives
Additional Manufacturer Narrative · 1
CONSUMER ADMITS TO POURING HOT WATER INTO THE TANK OF THE HUMIDIFIER WHICH IS A MISUSE / ABUSE OF THE PRODUCT AND A DIRECT VIOLATION OF THE INSTRUCTIONS AND WARNINGS PROVIDED.
Description of Event or Problem · 1
CONSUMER IS ALLEGING THAT HIS HUMIDIFIER'S TANK EXPLODED AFTER HE FILLED IT WITH HOT WATER AND THAT THE HOT WATER BURNED HIS ARM AND CHEST.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 855323 | NUK | COOL MIST HUMIDIFIER | KFZ | NUK USA LLC | 78103 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |