MAUDE Adverse Event Report: SUMBEAM PRODUCTS, INC., DBA AJRDEN CONSUMER SOLUTIONS SUNBEAM; HEATING PAD

Device Problems Break (1069); Fire (1245)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Date 11/18/2013

Event Type  malfunction  

Event Description

An insurance company is alleging that a heating pad caused a fire that resulted in property damage to their insured's residence.No injuries were reported with this incident.

Manufacturer Narrative

This product is in the possession of the insurance company and has not been examined.

• Brand Name: SUNBEAM
• Type of Device: HEATING PAD
• Manufacturer (Section D): SUMBEAM PRODUCTS, INC., DBA AJRDEN CONSUMER SOLUTIONS; 2381 executive center dr.; shenzhen 0000 ; CN 0000
• Manufacturer (Section G): SKYEAGLE HOLDINGS CORP; no. 128, chung hwa rd., sec. 2, tucheg; taipei hsien 236 ; TW 236
• Manufacturer Contact: tracie jones ; po obx 2391; wichita, KS 67201 ; 3162197325
• MDR Report Key: 3853342
• MDR Text Key: 4620161
• Report Number: 3007790958-2014-00096
• 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: Other
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 05/27/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 05/27/2014
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• 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