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MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-09-02 for * manufactured by *.

Event Text Entries

[375384] Burn to chin-blistering after 8 minutes. The owner told pt that it was impossible to get a blister from a tanning bed. Drs note states that the burn was from a tanning bed. Pt now has scar on their chin from the lesion that formed due to the blisters getting infected.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: MW1033823
• MDR Report Key: 561042
• Date Received: 2003-09-02
• Date of Event: 2003-03-28
• Date Added to Maude: 2004-12-27
• Event Key: 0
• Report Source Code: Voluntary report
• Manufacturer Link: N
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 3
• Health Professional: 3
• Initial Report to FDA: 0
• Report to FDA: 0
• Event Location: 3
• Single Use: 0
• Previous Use Code: 0
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: *
• Generic Name: TANNING BED
• Product Code: CEJ
• Date Received: 2003-09-02
• Model Number: *
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Device Availability: *
• Implant Flag: N
• Date Removed: *
• Device Sequence No: 1
• Device Event Key: 550750
• Manufacturer: *
• Manufacturer Address: * * *

Patients

Patient Number	Treatment	Outcome	Date
1	0		2003-09-02