VICTSING HUMIDIFIER USAS4-VTVTHM161AWUS-VD

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-02 for VICTSING HUMIDIFIER USAS4-VTVTHM161AWUS-VD manufactured by Unknown.

Event Text Entries

[150378302] We have been using this humidifier in my baby's nursery during the night, for sleep, and one day it stopped working and the light stayed red. I decided to test it out a couple times before trashing it. As i was testing it out one day, while i was in the nursery, and it began to spark. The sparking became fast and loud until luckily i was able to be there in time to unplug it. Thank god it wasn't during the night while my baby was sleeping a foot away from the humidifier. Victsing humidifier, order id: (b)(6) totaling (b)(6). Specifications: input: 100v-240v, 50-60 hz water tank capacity: 2. 0l max mist output: >180 ml/h? Product dimensions 10. 8 x 7. 5 x 10. 2 inches item weight 2. 45 pounds, shipping weight 2. 45 pounds (view shipping rates and policies) manufacturer victsing asin: (b)(6), item model number: usas4-vtvthm161awus-vd. Retailer: (b)(6). Retailer state: (b)(6). Purchase date: (b)(6) ''219''. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5087882
MDR Report Key8760708
Date Received2019-07-02
Date of Report2019-05-16
Date of Event2019-05-01
Date Added to Maude2019-07-03
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameVICTSING HUMIDIFIER
Generic NameHUMIDIFIER, NON-DIRECT PATIENT INTERFACE (HOME-USE)
Product CodeKFZ
Date Received2019-07-02
Model NumberUSAS4-VTVTHM161AWUS-VD
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNKNOWN


Patients

Patient NumberTreatmentOutcomeDate
10 2019-07-02

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