BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUNDASH

    MDR report key: 2563079 · Received April 16, 2012

    Report

    Report Number
    2311923-2012-00009
    Event Type
    Malfunction
    Date Received
    April 16, 2012
    Date of Event
    January 28, 2006
    Report Date
    April 16, 2012
    Manufacturer
    JK PRODUCTS & SERVICES, INC.
    Product Code
    LEJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    CLAIMANT ALLEGES SPRING BROKE LIMITING THE MOVEMENT OF THE CANOPY. CLAIMANT ALLEGEDLY HURT HER BACK LIFTING THE CANOPY TO EXIT THE TANNING SYSTEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUNDASH 232 LEJ JK PRODUCTS & SERVICES, INC. NA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other