DEVICE: Ergoline SR Super Power (04014501003480)

Device Identifier (DI) Information

Ergoline SR Super Power
FR71T12 100W-R
Not in Commercial Distribution
901935140
NARVA Lichtquellen GmbH + Co KG.
04014501003480
GS1
February 14, 2018
1
330119702 *Terms of Use
UV - Tanning lamp, Accession # 122 0531-000 <CR> Exclusive distributor for USA: JW North America, Inc., 233 Libbey Industrial Pkwy Weymouth, MA 02189, Phone: +1 781 331 0949, Email: kapgar@jwnorthamerica.com <CR> Manufacturer: NARVA Lichtquellen GmbH + Co. KG, Industriegebiet Nord, Erzstrasse 22, 09618 Brand-Erbisdorf, Germany, Phone: +49 37322 17 200, Email: office@narva-bel.de, http://www.narva-bel.de
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Device Characteristics

Labeling does not contain MRI Safety Information
No
No
No
No
Yes
No
No
No

GMDN

[?]

GMDN© Term Code, Names and Definitions (*Terms of Use): GMDN® is a registered trademark of The GMDN Agency. All rights reserved. Used under licence from The GMDN Agency Ltd.

GMDN Term Code GMDN Term Name GMDN Term Definition GMDN Term Status [?] Implantable?
46387 Ultraviolet tanning device
A mains electricity (AC-powered) lamp or bed/booth with lamps designed to provide radiation in the ultraviolet spectrum for tanning the skin. This device is used for cosmetic purposes.
Active false
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FDA Product Code

[?]
Product Code Product Code Name
LEJ Booth, Sun Tan
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
Premarket Submission Number Not Available/Not Released
No CLOSE

Sterilization

No
No
Sterilization Method [?]
No Sterilization Methods Found
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Storage and Handling

[?]
Storage and Handling
Special Storage Condition, Specify: Keep dry. Attention: Fragile.
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Clinically Relevant Size

[?]
Size Type Text
No Device Sizes
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Device Record Status

7b99514f-290a-4454-9378-af9e5d9e2321
March 29, 2018
2
December 21, 2017
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Alternative and Additional Identifiers Additional Identifiers

Package DI

[?]
Package DI Number Quantity per Package Contains DI Package Package Discontinue Date Package Status Package Type
84014501003486 24 54014501403483 2018-02-14 Not in Commercial Distribution PAllet
54014501403483 24 04014501003480 2018-02-14 Not in Commercial Distribution Tertiary Packaging
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Secondary DI

[?]
Issuing Agency [?] Secondary DI Number
No Secondary DIs found
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Unit of Use DI

[?]
Unit of Use DI Number: No Unit of Use DI Numbers Found CLOSE

Direct Marking (DM)

[?]
No
No
None
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Production Identifier(s) in UDI

[?]
Yes
No
Yes
Yes
No CLOSE

Customer Contact

[?]
+1 781 331 0949
kapgar@jwnorthamerica.com
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