KBL TOWER PURE ENERGY TOWER (2005)

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-05 for KBL TOWER PURE ENERGY TOWER (2005) manufactured by Kbl Ag.

Event Text Entries

[72068826] Claimant alleges sunbed caught fire.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006116732-2017-00003
MDR Report Key6459746
Date Received2017-04-05
Date of Report2017-03-29
Date of Event2017-01-16
Date Mfgr Received2017-02-09
Device Manufacturer Date2006-11-01
Date Added to Maude2017-04-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. THOMAS LAHR
Manufacturer StreetRINGSTRASSE 24-26
Manufacturer CityDERNBACH, 56307
Manufacturer CountryGM
Manufacturer Postal56307
Manufacturer Phone4926899426
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameKBL TOWER PURE ENERGY
Generic NameSUNLAMP PRODUCT
Product CodeLEJ
Date Received2017-04-05
Model NumberTOWER PURE ENERGY
Catalog NumberTOWER (2005)
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerKBL AG
Manufacturer AddressRINGSTRASSE 24-26 DERNBACH, RLP 56307 GM 56307

Device Sequence Number: 1

Brand NameKBL TOWER PURE ENERGY
Generic NameSUNLAMP PRODUCT
Product CodeLEJ
Date Received2017-04-05
Model NumberTOWER PURE ENERGY
Catalog NumberTOWER (2005)
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerKBL AG
Manufacturer AddressRINGSTRASSE 24-26 DERNBACH, RLP 56307 GM 56307


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-05

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