BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOLMES

    MDR report key: 6142378 · Received December 2, 2016

    Report

    Report Number
    3005997993-2016-00194
    Event Type
    Malfunction
    Date Received
    December 2, 2016
    Report Date
    December 2, 2016
    Manufacturer
    SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    CONSUMER HAS NOT RETURNED.

    Description of Event or Problem · 1

    CONSUMER ALLEGES HER COOL MIST HUMIDIFIER CAUGHT ON FIRE AND BURNED THE CORD. THERE WAS NOT A REPORT OF PROPERTY DAMAGE OR INJURY WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    793606 HOLMES HUMIDIFIER KFZ SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI HCM730F-TUM

    Patients

    Seq Age Sex Outcome Treatment
    1