BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUNDASH

    MDR report key: 2546869 · Received April 16, 2012

    Report

    Report Number
    2311923-2012-00004
    Event Type
    Malfunction
    Date Received
    April 16, 2012
    Date of Event
    December 14, 2006
    Report Date
    April 16, 2012
    Manufacturer
    JK PRODUCTS & SERVICE, INC.
    Product Code
    LEJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    CLAIMANT ALLEGES FIRE MAY HAVE BEEN CAUSED BY TANNING BOOTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUNDASH 252 LEJ JK PRODUCTS & SERVICE, INC. SUNDASH NA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other