ULTIMATE SPA 1440030601 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2002-04-03 for ULTIMATE SPA 1440030601 NA manufactured by Styling Technologies.

Event Text Entries

[277599] Rptr reported that the 6lb block of wax melted in the machine and leaked out onto their oriental rug and all over the furniture. Rptr worried that their pts could have been burned from the hot wax. The paraffin is supposed to melt at 150 degrees which is very hot. Machine had a hole in it. The rptr returned machine to store, they discovered that it had a hole in it. They were given a new machine to replace the damaged one.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW4003292
MDR Report Key396456
Date Received2002-04-03
Date of Report2002-04-03
Date of Event2002-03-24
Date Added to Maude2002-05-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameULTIMATE SPA
Generic NamePARAFFIN THERAPY MACHINE
Product CodeIMC
Date Received2002-04-03
Model Number1440030601
Catalog NumberNA
Lot NumberNA
ID NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key385484
ManufacturerSTYLING TECHNOLOGIES
Manufacturer Address7400 E TIERRA BUENA LN SCOTTSDALE AZ 852601613 US


Patients

Patient NumberTreatmentOutcomeDate
10 2002-04-03

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