MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-04-17 for VICKS V1200 manufactured by Kaz Usa, Inc., A Helen Of Troy Company.
[142232035]
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
[142232036]
A consumer reported that he received second degree burns on his stomach and right arm from hot water that spilled out of the personal steam inhaler. Medical intervention was sought for their injuries at a walk-in clinic. The consumer stated that he was grabbing the unit away from his wife when the injury occurred. The instructions for proper use have a clear warning that states "the appliance should always be placed on a firm, flat waterproof surface", "caution: do not place on lap or lift in your hands while in operation and if the unit still contains water", and "never move the appliance while in use. It can spill hot water if tilted or tipped over causing injury. " kaz usa, inc. Has requested that the product be returned to our company for testing, but the product had already been returned to the retailer. We asked that the consumer contact the retail store to try to recover the unit so that we can test it.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1314800-2019-00023 |
| MDR Report Key | 8523253 |
| Report Source | CONSUMER |
| Date Received | 2019-04-17 |
| Date of Report | 2019-04-26 |
| Date of Event | 2019-03-19 |
| Date Mfgr Received | 2019-03-22 |
| Device Manufacturer Date | 2018-11-05 |
| Date Added to Maude | 2019-04-17 |
| 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 MA 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 | ELECTRIC STEAM INHALER |
| Product Code | KFZ |
| Date Received | 2019-04-17 |
| Returned To Mfg | 2019-04-24 |
| Model Number | V1200 |
| Lot Number | 30918MHD |
| Operator | LAY USER/PATIENT |
| Device Availability | R |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| 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 | 2019-04-17 |