FDA Adverse Event
Injury
Summary report: N
UV PHOTOTHERAPY LAMP
MDR report key: 11278727
·
Received February 3, 2021
Report
- Report Number
- MW5099211
- Event Type
- Injury
- Date Received
- February 3, 2021
- Date of Event
- January 19, 2021
- Report Date
- February 1, 2021
- Manufacturer
- ANGEL KISS LLC.
- Product Code
- FTC
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
MY SKIN WAS BURNED; I BOUGHT A UV PHOTOTHERAPY LAMP FROM (B)(6) A FEWS DAYS AGO. THE ITEM LINK IS (B)(6). MY SKIN WAS BURNED AND GOT WORSE AFTER APPLYING THIS. TRIED AGAIN THE NEXT DAY TO SEE IF MAYBE IT WAS JUST A FLUKE, BURNED EVEN WORSE AND IRRITATED THE SKIN MORE THAN IT ALREADY WAS. MY DERMATOLOGIST SAYS FDA RESTRICTS THIS PSORIASIS LAMP TO SELL WITHOUT THE ORDER OF A PHYSICIAN. ITS PACKAGE ALSO PROVES THIS. ITS 510K NUMBER IS K132643 WHICH CLEARLY SHOWS THAT THIS IS A PRESCRIPTION (RX) MEDICAL DEVICE. WHY FDA ALLOWS THIS RX PRODUCT SOLD ON (B)(6)? I THINK FDA MUST REQUIRE (B)(6) TO REMOVE THIS ITEM. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 173250 | UV PHOTOTHERAPY LAMP | LIGHT, ULTRAVIOLET, DERMATOLOGICAL | FTC | ANGEL KISS LLC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| L| O| R| S |