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U.S. Department of Health and Human Services

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

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SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI SUNBEAM; HUMIDIFIER Back to Search Results
Device Problem Fire (1245)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 02/17/2015
Event Type  malfunction  
Event Description
An attorney's office is filing a court summons notice under case reference number (b)(4) alleging that a humidifier was the cause of a fire that allegedly damaged its client's property.There was not a report of personal injuries with this incident.
 
Manufacturer Narrative
Consumer's failure to properly clean/maintain the humidifier is a violation of the instructions and warnings provided and led to the incident.
 
Event Description
An attorney's office is filing a court summons notice under case reference number (b)(4) alleging that a humidifier was the cause of a fire that allegedly damaged its clients property.There was not a report of personal injuries with this incident.
 
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Brand Name
SUNBEAM
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)
DONGGUAN HUIXAN ELECTRICAL PRODUCTS CO.
no. 9112, hung yeh 8th road
tangxia town,
CH  
Manufacturer Contact
michael miles
303 nelson ave.
neosho, MO 64850
4174557441
MDR Report Key6767121
MDR Text Key82007988
Report Number3003862163-2017-00142
Device Sequence Number1
Product Code KFZ
Combination Product (y/n)N
Reporter Country CodeCA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 03/07/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/04/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/21/2011
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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