FDA Adverse Event
Injury
Summary report: N
SUNDASH
MDR report key: 3173419
·
Received April 29, 2013
Report
- Report Number
- 2311923-2013-00002
- Event Type
- Injury
- Date Received
- April 29, 2013
- Date of Event
- April 19, 2013
- Report Date
- April 29, 2013
- Manufacturer
- JK PRODUCTS & SERVICES, INC.
- Product Code
- LEJ
- Report Source
- Manufacturer report
- Reporter Location
- IA, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE PRODUCTION OF THIS UNIT WAS STOPPED IN 2001. THIS IS THE ONLY KNOWN INCIDENT OF THIS KIND. WE HAVE PROVIDED SALON OWNER LABELING TO PLACE ON UNIT TO AVOID FUTURE OCCURRENCES.
Description of Event or Problem · 1
COMPLAINANT CLOSED THE DOOR OF THE TANNING UNIT ON HER FOOT WHILE ENTERING THE UNIT. SHE RECEIVED 5 STITCHES ON HER HEEL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 186428 | SUNDASH | RADIUS 48 | LEJ | JK PRODUCTS & SERVICES, INC. | SR48 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Required Intervention |