Brand Name | SUNBEAM |
Type of Device | HEATING PAD |
Manufacturer (Section D) |
SUNBEAM PRODUCTS, INC. |
2381 executive ctr dr |
dba jarden consumer solutions |
boca raton FL |
|
Manufacturer (Section G) |
SKY EAGLE HOLDINGS CORP |
no 128, chung hwa rd, sec 2 tucheg |
eagle electric shenshen |
taipei hsien 236 |
TW
236
|
|
Manufacturer Contact |
tracie
jones
|
po box 2391 |
wichita, KS 67201
|
3162197325
|
|
MDR Report Key | 3850836 |
MDR Text Key | 20266354 |
Report Number | 3007790958-2014-00042 |
Device Sequence Number | 1 |
Product Code |
IRT
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Consumer |
Reporter Occupation |
Not Applicable
|
Type of Report
| Initial |
Report Date |
03/06/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 05/22/2014 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Other
|
Device Model Number | 2013-912 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
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 Number | 1 |
Patient Outcome(s) |
Other;
|
|
|