BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KBL TOWER PURE ENERGY

    MDR report key: 6672551 · Received June 28, 2017

    Report

    Report Number
    3006116732-2017-00005
    Event Type
    Malfunction
    Date Received
    June 28, 2017
    Date of Event
    May 10, 2017
    Report Date
    June 23, 2017
    Manufacturer
    KBL AG
    Product Code
    LEJ
    PMA / PMN Number
    K151962
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    OVERHEATING OF A PLUG

    Description of Event or Problem · 1

    OVERHEATING OF A PLUG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    455128 KBL TOWER PURE ENERGY SUNLAMP PRODUCT LEJ KBL AG TOWER PURE ENERGY

    Patients

    Seq Age Sex Outcome Treatment
    1