MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-03-02 for KBL TOWER PURE ENERGY TOWER (2005) manufactured by Kbl Ag.
[101604334]
Tanning device - during normal use, it appears electrical short has caused to ignite and some material to burn in the back operating area within the unit. Fire department knocked down the fire in the equipment. No injury to user.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3006116732-2017-00008 |
| MDR Report Key | 7308992 |
| Date Received | 2018-03-02 |
| Date of Report | 2018-03-01 |
| Date of Event | 2017-12-04 |
| Date Mfgr Received | 2017-12-10 |
| Device Manufacturer Date | 2008-12-01 |
| Date Added to Maude | 2018-03-02 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. THOMAS LAHR |
| Manufacturer Street | RINGSTRASSE 24-26 |
| Manufacturer City | DERNBACH, 56307 |
| Manufacturer Country | GM |
| Manufacturer Postal | 56307 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | KBL TOWER PURE ENERGY |
| Generic Name | SUNLAMP PRODUCT |
| Product Code | LEJ |
| Date Received | 2018-03-02 |
| Model Number | TOWER PURE ENERGY |
| Catalog Number | TOWER (2005) |
| Device Availability | * |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 0 |
| Device Event Key | 0 |
| Manufacturer | KBL AG |
| Manufacturer Address | RINGSTRASSE 24-26 DERNBACH, RLP 56307 GM 56307 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-03-02 |