BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KAZ, INC.

    MDR report key: 71453 · Received February 21, 1997

    Report

    Report Number
    1314800-1997-90004
    Event Type
    Injury
    Date Received
    February 21, 1997
    Date of Event
    January 24, 1997
    Report Date
    February 20, 1997
    Manufacturer
    KAZ, INC.
    Product Code
    KFZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    CONSUMER SET UP VAPORIZER IN ACCORDANCE WITH INSTRUCTIONS. SHE ACCIDENTALLY HIT THE POWER CORD. THE RESULT OF THIS WAS THAT THE HEAD OF THE VAPORIZER FLEW OFF THE BASE. THIS IN TURN BURNED HER LOWER LEG & SHIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KAZ, INC. STEAM VAPORIZER KFZ KAZ, INC. 76 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention