SIGNATURE SERIES

GUDID G5101390

Light Sources, Inc.

Ultraviolet tanning device

• Primary Device ID: G5101390
• NIH Device Record Key: bbf4233a-2610-463c-b4be-7844b6f9d303
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: SIGNATURE SERIES
• Version Model Number: 1390
• Company DUNS: 075058495
• Company Name: Light Sources, Inc.
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: true
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: false
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: true
• Expiration Date: true
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: true
• RX Perscription: false
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	G5101390 [Primary]

FDA Product Code

• LEJ: Booth, Sun Tan

Sterilization

• Steralize Prior To Use: false
• Device Is Sterile: false

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2024-10-14
• Device Publish Date: 2024-10-04

On-Brand Devices [SIGNATURE SERIES ]

• G51015540: 1554
• G51030550: 3055
• G51030490: 3049
• G51029100: 2910
• G51029120: 2912
• G51029130: 2913
• G51029080: 2908
• G5101390: 1390
• G5101568: FR2000/VHO/BP/2.4/210