BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VICKS WARM MOISTURE HUMIDIFIER

    MDR report key: 6957980 · Received October 18, 2017

    Report

    Report Number
    MW5072806
    Event Type
    Malfunction
    Date Received
    October 18, 2017
    Date of Event
    October 2, 2017
    Report Date
    October 3, 2017
    Manufacturer
    KAZ USA
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    LAST NIGHT WE HAD FILLED UP OUR VICKS WARM MOISTURE HUMIDIFIER. WE WENT TO BED AROUND 8PM. SHORTLY AFTER MIDNIGHT WE WERE AWOKEN TO THE SMOKE ALARM GOING OFF. THERE WAS A SLIGHT HAZE OF SMOKE AND SMELL OF SOMETHING BURNING. WE QUICKLY NOTICED THAT THERE WAS SMOKE COMING FROM THE HUMIDIFIER. I UNPLUGGED IT AND MY WIFE DUMPED HER GLASS OF WATER ON IT. IT MADE A BUNCH OF POPPING NOISES, BUT THE SMOKE STOPPED. WE LET IT COOL AND THEN TOOK IT APART TO FIND THAT PART OF THE PLASTIC HAD MELTED AND CAUGHT FIRE. INCIDENT LOCATION: (B)(6), UNITED STATES, THIS IS MY HOME ADDRESS. DOCUMENT NUMBER: (B)(4). REPORT NUMBER: (B)(4). VICKS WARM MOISTURE HUMIDIFIER PURCHASED FROM (B)(6). RETAILER: (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    737055 VICKS WARM MOISTURE HUMIDIFIER HEATING, VENTILATION & AIR CONDITIONING KFZ KAZ USA

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR