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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: KAZ USA, INC., A HELEN OF TROY COMPANY HONEYWELL; WARM MIST HUMIDIFIER

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KAZ USA, INC., A HELEN OF TROY COMPANY HONEYWELL; WARM MIST HUMIDIFIER Back to Search Results
Model Number HWM-340BC
Device Problem Use of Device Problem (1670)
Patient Problem Partial thickness (Second Degree) Burn (2694)
Event Date 10/21/2018
Event Type  Injury  
Manufacturer Narrative
Kaz usa, inc.Has requested that the product be returned for testing, but the item has not yet been received.
 
Event Description
A consumer called and stated that their infant child received burns from the hot steam that was coming out of their warm mist humidifier.The child received medical treatment at a hospital for a second degree burn on his hand, and he also required follow up care for his injuries.The instructions for proper use have very clear warnings that state, "warning: keep out of reach of children.This product produces hot steam and should be placed in an area not accessible to children or pets with the power cord also securely out of reach" and "caution: hot steam may cause burns".Kaz usa, inc.Has requested that the product be returned for testing, but it has not yet been received.
 
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Brand Name
HONEYWELL
Type of Device
WARM MIST HUMIDIFIER
Manufacturer (Section D)
KAZ USA, INC., A HELEN OF TROY COMPANY
marlborough MA 01752
Manufacturer Contact
sonja wilkinson
400 donald lynch boulevard
suite 300
marlborough, MA 01752
5084907236
MDR Report Key8133375
MDR Text Key129341199
Report Number1314800-2018-00036
Device Sequence Number1
Product Code KFZ
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 12/04/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/05/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model NumberHWM-340BC
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Date Manufacturer Received11/05/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Other; Required Intervention;
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