BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HONEYWELL HUMIDIFIER HWM 340B BLACK AND LIGHT GREY

    MDR report key: 9569393 · Received January 8, 2020

    Report

    Report Number
    MW5092117
    Event Type
    Injury
    Date Received
    January 8, 2020
    Date of Event
    November 17, 2019
    Report Date
    January 8, 2020
    Manufacturer
    KAZ USA, INC., A HELEN OF TROY COMPANY
    Product Code
    KFZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MS, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I SWITCHED THE UNIT'S POWER SWITCH TO THE OFF (CENTER) POSITION AS WE NO LONGER NEEDED TO HAVE THE UNIT OPERATING. AFTER SETTING THE SWITCH TO THE OFF POSITION, I NOTICED THAT THE POWER INDICATOR LIGHT WAS STILL ILLUMINATED. A COUPLE OF DAYS LATER, I EMPTIED THE UNIT OF REMAINING WATER AS I HAD INTENDED TO SIMPLY REPLACE IT AS I THOUGHT IT HAD SIMPLY FAILED. WHEN I TIPPED THE UNIT UP TO POUR THE WATER OUT, IT POURED NOT ONLY FROM THE TANK OF THE UNIT BUT ALSO THE BASE OF THE UNIT THAT CONTAINS THE ELECTRONIC CONTROLS. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    29871 HONEYWELL HUMIDIFIER HWM 340B BLACK AND LIGHT GREY HUMIDIFIER NON-DIRECT PATIENT INTERFACE KFZ KAZ USA, INC., A HELEN OF TROY COMPANY HWM340B

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR