FDA Adverse Event Other Summary report: N

KAZ

MDR report key: 948505 · Received November 14, 2007

Report

Report Number
1314800-2007-00013
Event Type
Other
Date Received
November 14, 2007
Date of Event
November 11, 2007
Report Date
November 14, 2007
Manufacturer
KAZ, INC.
Product Code
KFZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

RECEIVED CALL FROM CONSUMER TO REPORT THAT CHILD WAS BURNED BY STEAM FROM VAPORIZER. MEDICAL TREATMENT WAS PROVIDED FOR THE BURN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KAZ VAPORIZER KFZ KAZ, INC. V150 NA

Patients

Seq Age Sex Outcome Treatment
1 11 MO Other