FDA Adverse Event
Injury
Summary report: N
SUNBEAM
MDR report key: 6015495
·
Received October 10, 2016
Report
- Report Number
- 3003862163-2016-00166
- Event Type
- Injury
- Date Received
- October 10, 2016
- Date of Event
- September 19, 2016
- Report Date
- October 10, 2016
- Manufacturer
- SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI
- Product Code
- KFZ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MT, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CONSUMER ALLEGES THAT HER HUMIDIFIER MELTED AND EMITTED SMOKE. SHE ALSO CLAIMS THAT HER FOOT WAS BURNED WHEN SHE STEPPED ON SOME MELTED MATERIAL AND THAT HER DAUGHTER SUFFERED FROM SMOKE INHALATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 665143 | SUNBEAM | HUMIDIFIER | KFZ | SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI | SWM6000-NWM2 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |