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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI KENMORE; HUMIDIFIER

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SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI KENMORE; HUMIDIFIER Back to Search Results
Model Number 31193
Device Problem Fire (1245)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 12/20/2016
Event Type  malfunction  
Manufacturer Narrative
Insurance co in possession of product.
 
Event Description
An insurance company is making a subrogation claim and alleging that a humidifier was the cause of a fire that damaged its insured's property.There was not a report of personal injury with this incident.
 
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Brand Name
KENMORE
Type of Device
HUMIDIFIER
Manufacturer (Section D)
SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI
2381 executive center dr.
boca raton FL 33431
Manufacturer (Section G)
CHUZHOU DONLIM ELECTRICAL APPLIANCES CO.,LTD.
no.1777 yangzi east road
chuzhou, 23900 0
CH   239000
Manufacturer Contact
michael miles
303 nelson ave.
neosho, MO 64850
4174557441
MDR Report Key6576689
MDR Text Key75623250
Report Number3010341502-2017-00119
Device Sequence Number1
Product Code KFZ
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Other
Type of Report Initial
Report Date 05/18/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Model Number31193
Was Device Available for Evaluation? No
Initial Date Manufacturer Received Not provided
Initial Date FDA Received05/18/2017
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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