BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOLMES

    MDR report key: 6102452 · Received November 15, 2016

    Report

    Report Number
    3003862163-2016-00176
    Event Type
    Malfunction
    Date Received
    November 15, 2016
    Report Date
    February 8, 2017
    Manufacturer
    SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    CONSUMER'S FAILURE TO PROPERLY CLEAN/MAINTAIN THE HUMIDIFIER IS A VIOLATION OF THE INSTRUCTIONS AND WARNINGS PROVIDED AND LED TO THE INCIDENT.

    Additional Manufacturer Narrative · 1

    CONSUMER HAS NOT RETURNED THE PRODUCT.

    Description of Event or Problem · 1

    CONSUMER IS ALLEGING THAT HER HUMIDIFIER CAUGHT ON FIRE. THERE WAS NOT A REPORT OF INJURY WITH THIS INCIDENT.

    Description of Event or Problem · 1

    CONSUMER IS ALLEGING THAT HER HUMIDIFIER CAUGHT ON FIRE. THERE WAS NOT A REPORT OF INJURY WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    754814 HOLMES HUMIFIER KFZ SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI HM5082

    Patients

    Seq Age Sex Outcome Treatment
    1