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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: KAZ USA, INC., A HELEN OF TROY COMPANY VICKS; PERSONAL STEAM INHALER

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KAZ USA, INC., A HELEN OF TROY COMPANY VICKS; PERSONAL STEAM INHALER Back to Search Results
Model Number V1200
Device Problems Use of Device Problem (1670); Human-Device Interface Problem (2949); Patient Device Interaction Problem (4001)
Patient Problem Partial thickness (Second Degree) Burn (2694)
Event Date 01/31/2024
Event Type  Injury  
Event Description
A consumer reported that his wife received second degree burns on her thighs from hot water that spilled from the personal steam inhaler.He stated that she accidentally tipped the device over during use, causing hot water to spill onto her lap.The consumer stated that his wife is a nurse, and cared for her wounds at home.The instructions for proper use have clear warnings that state "the appliance should always be placed on a firm, flat waterproof surface", "caution: do not place on lap or lift in your hands while in operation and if the unit still contains water" as well as, "never move the appliance while in use.It can spill hot water if tilted or tipped over causing injury." kaz usa, inc.Has requested that the product be returned to our company for testing.
 
Manufacturer Narrative
Kaz usa, inc.Has requested that the product be returned to our company for testing, but it has not yet been received.
 
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Brand Name
VICKS
Type of Device
PERSONAL STEAM INHALER
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 Key18789319
MDR Text Key336396237
Report Number1314800-2024-00005
Device Sequence Number1
Product Code KFZ
Combination Product (y/n)N
Reporter Country CodeUS
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 02/27/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/27/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model NumberV1200
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Date Manufacturer Received02/01/2024
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 Unknown
Patient Sequence Number1
Patient Outcome(s) Required Intervention; Other;
Patient SexFemale
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