SUNBEAM 1773-500

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2015-09-22 for SUNBEAM 1773-500 manufactured by Sunbeam Products, Inc. Dka Jarden Consumer Solutions, 2381.

Event Text Entries

[27691002] Consumer did not follow the warnings and instructions which state: "never use boiling water in water bottle, even very hot tap water can cause burns" and "to test for leakage, turn bottle upside down and press on it firmly. " this incident is the direct result of consumer not heeding the warnings and instructions provided.
Patient Sequence No: 1, Text Type: N, H10


[27691003] Consumer is claiming that he was using the hot water bottle for low back pain when the seal allegedly leaked and caused burns to his back.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005327017-2015-00132
MDR Report Key5130857
Report SourceCONSUMER
Date Received2015-09-22
Date of Report2015-09-22
Date Added to Maude2015-10-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactTRACIE JONES
Manufacturer StreetPO BOX 2391
Manufacturer CityWICHITA KS 672010000
Manufacturer CountryUS
Manufacturer Postal672010000
Manufacturer Phone3162197325
Manufacturer G1WUXI TOPTEAM CO.LTD
Manufacturer StreetROOM 2104, MINGZHU MANSION 88-2 ZHONGSHAN RD
Manufacturer CityWUXI, JIANGSU 214001
Manufacturer CountryCH
Manufacturer Postal Code214001
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSUNBEAM
Generic NameHOT OR COLD WATER BOTTLE
Product CodeFPF
Date Received2015-09-22
Model Number1773-500
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSUNBEAM PRODUCTS, INC. DKA JARDEN CONSUMER SOLUTIONS, 2381
Manufacturer AddressEXECUTIVE CENTER DR. BOCA RATON FL US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-09-22

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