MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-02-27 for VICKS VIH200 manufactured by Kaz Usa, Inc., A Helen Of Troy Company.
[137265329]
Kaz usa, inc. Has requested that the product be returned to our company for testing, but it has not yet been received.
Patient Sequence No: 1, Text Type: N, H10
[137265330]
A consumer reported that she received first and second degree burns on her stomach and leg from hot water that spilled out of the personal steam inhaler. Medical intervention was sought for their injuries on the day after the incident occured. The consumer stated that she was lifting the unit towards her face when the injury occurred, and that she had not properly installed the base correctly. The instructions for proper use have a clear warning that states "the appliance should always be placed on a firm, flat waterproof and heat resistant surface", and "caution: do not move, lift, shake, tilt or disassemble while in operation or if it still contains hot water. " kaz usa, inc. Has requested that the product be returned to our company for testing.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1314800-2019-00014 |
| MDR Report Key | 8373987 |
| Report Source | CONSUMER |
| Date Received | 2019-02-27 |
| Date of Report | 2019-02-27 |
| Date of Event | 2019-01-26 |
| Date Mfgr Received | 2019-01-28 |
| Device Manufacturer Date | 2018-08-27 |
| Date Added to Maude | 2019-02-27 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | SONJA WILKINSON |
| Manufacturer Street | 400 DONALD LYNCH BOULEVARD SUITE 300 |
| Manufacturer City | MARLBOROUGH 01752 |
| Manufacturer Country | US |
| Manufacturer Postal | 01752 |
| Manufacturer Phone | 5084907236 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | VICKS |
| Generic Name | PERSONAL STEAM INHALER |
| Product Code | KFZ |
| Date Received | 2019-02-27 |
| Model Number | VIH200 |
| Lot Number | 23918 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | KAZ USA, INC., A HELEN OF TROY COMPANY |
| Manufacturer Address | MARLBOROUGH MA 01752 US 01752 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other; 2. Required No Informationntervention | 2019-02-27 |