Brand Name | SUNBEAM |
Type of Device | HEATING PAD |
Manufacturer (Section D) |
SUNBEAM PRODUCTS, INC., DBA JARDEN CONSUMER SOLUTI |
2381 executive center dr. |
boca raton FL 33431 |
|
Manufacturer (Section G) |
SKY EAGLE HOLDINGS CORP. |
no. 128,chung hwa rd.,sec. 2, |
|
taipei hsien, china (taiwan) 236 |
TW
236
|
|
Manufacturer Contact |
tracie
jones
|
p.o. box 2931 |
wichita, KS 67201
|
3162197325
|
|
MDR Report Key | 5484789 |
MDR Text Key | 40031487 |
Report Number | 3007790958-2016-00053 |
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 |
Other
|
Type of Report
| Initial |
Report Date |
03/07/2016 |
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 Number | 2013-511 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 02/18/2016 |
Initial Date Manufacturer Received |
02/18/2016
|
Initial Date FDA Received | 03/07/2016 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 07/24/2014 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|