BEUDAMED
    FDA Adverse Event Other Summary report: N

    ESB GRANDE

    MDR report key: 578077 · Received March 4, 2005

    Report

    Report Number
    34810-2005-00001
    Event Type
    Other
    Date Received
    March 4, 2005
    Date of Event
    May 28, 2002
    Manufacturer
    ESB ENTERPRISES, LLC
    Product Code
    LEJ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE INDIVIDUAL REPORTED BEING EXCESSIVELY SUN TANNED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ESB GRANDE SUN TANNING BED LEJ ESB ENTERPRISES, LLC GRANDE NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other