Brand Name | ANGEL & KISS UV PHOTOTHERAPY LAMP |
Type of Device | LIGHT, ULTRAVIOLET, DERMATOLOGICAL |
Manufacturer (Section D) |
ANGEL KISS CARE CO., LTD. |
#912, 913 gangseo hanhwa bizmetro 1st building |
551-17, yangcheon-ro gangseo-gu |
seoul teugbyeolsi 07532 |
KN 07532 |
|
MDR Report Key | 11260937 |
MDR Text Key | 230091145 |
Report Number | MW5099113 |
Device Sequence Number | 1 |
Product Code |
FTC
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Administrator/Supervisor
|
Type of Report
| Initial |
Report Date |
01/27/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/29/2021 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
No Information
|
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Was Device Evaluated by Manufacturer? |
No Information
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Hospitalization;
Life Threatening;
Other;
Required Intervention;
Disability;
|
|
|