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The
subject of lamp compatibility, substantial equivalency and recommended
relamping procedures poses several concerns for responsible salon
owners and operators who are trying to conduct business within the
guidelines established by the FDA, local authorities and the original
equipment manufacturers. The following is a brief overview that
should be reviewed by all your employees.
It
generally is agreed that tanning lamps should be replaced when their
output drops below 65 percent to 70 percent of the level when they
were new. In operating time, this is generally between 700 and 1,000
hours, although some longer maintenance models may last as long
as 1,500 hours with proper care.
When
approaching this procedure, the obvious first question is, what
can be used for replacement? The physical dimensions of a lamp obviously
could preclude its use in certain units. A 72-inch lamp obviously
will not fit into a unit designed to use 59-inch lamps. And the
voltage requirements of a lamp must match the tanning unit's output.
However, there are other factors that might make a lamp good for
one tanning bed and incorrect for another.
One
basic factor is the connector type. Tanning lamps are available
in either Recessed Double Contact (RDC) or Bi-pin configurations.
The bi-pin lamp has two pins protruding in a side by side arrangement
on each end; the RDC type of lamp has two contacts on each end housed
in a plastic post. The two types are not interchangeable.
Also,
distinctly different types of lamps, including standard low-pressure,
RUVA and VHO lamps are not interchangeable. Different lamp types
have individual operating requirements determined by their particular
design. For example, RUVA lamps have a reflecting panel built into
the lamp itself, eliminating the need for external reflectors in
the tanning unit. This means there is a distinct front and back
to the lamp, as the reflective panel must face toward the tanner.
Tanning units that use this type of lamp generally place them closer
together than do those using traditional lamps.
Both
RUVA and VHO lamps also generate more heat than normal low-pressure
lamps, making a more powerful cooling system within the tanning
unit necessary. To summarize, lamps of any design should be used
only in equipment that is designed for them.
Recent
revisions to the FDA regulations bearing on tanning products fortunately
take much of the guesswork out of choosing replacement lamps. To
be compliant, a replacement lamp must be + or - 10 percent of the erythemegenic
and melanogenic output of the original lamp. It does not attend
to the maintenance value or type of tan given by the original lamp.
Since the procedures and testing necessary to satisfy the regulations
are beyond the capabilities of almost any salon, primary determination
of whether a replacement lamp is compatible is the responsibility
of the lamp manufacturer.
Once
the compatibility is established, the FDA requires the lamp manufacturer
to print somewhere on the lamp or its packaging the specific lamp
models that the new lamp is designed to replace. If the labeling
doesn't say that the lamp is a direct replacement for a specific
lamp, odds are it is not. It is important to remember that just
because a lamp physically may fit into a tanning unit, it is not
necessarily designed for use in that until.
Salon
owners should be aware than an FDA inspector or state regulator
may visit their salon without notice. If the original lamp or an
FDA compatible lamp is not being used in the tanning unit, they
may prevent the salon owner from using the equipment unit it is
in compliance.
Additionally,
lamp manufacturers are required to file appropriate paperwork with
the FDA for its replacement lamp products. Salon owners should have
all the necessary paperwork on hand to show that the lamps are compatible.
The
following has been excerpted from an FDA-published document, Sunlamp
Products Performance Standard, and is presented as general information
for the suntanning device owner or operator:
The
Sunlamp Product Performance Standard, 21 CFR 1040.20, applies to
(1) any sunlamp product "designed to incorporate one or more ultraviolet
lamps and intended for irradiation of any part of the living human
body, by ultraviolet radiation with wavelengths in air between 180
and 320 nanometers, to induce skin tanning," and (2) any ultraviolet
lamp "which produces radiation in the wavelength interval of 180
to 320 nanometers in air and is intended for use in any sunlamp
product." The standard requires the elimination of unnecessary UVC
radiation (180 through 260 nanometers) from sunlamp products, that
sunlamp products have a timer that limits the duration of UV emission
to 10 minutes or less with manual recycling provisions, and that
protective eyewear be provided with sunlamp products. The hazards
due to chronic exposure to UVB radiation, and the use of photosensitizers
that interact primarily with UVA radiation are addressed in the
form of warning labels on sunlamp products and user information
accompanying the product. The conventional RS (reflector spot) sunlamp,
the bi-pin fluorescent type sunlamp and the bare quartz sunlamp,
examples of the products for which the sunlamp standard originally
was developed, emit a relatively high percentage of UVB radiation
(8 percent to 58 percent). Sunlamp product manufacturers recently
have developed sunlamps for which the ratio of UVA to UVB emissions
have been adjusted so that only a relatively small quantity of UVB
(two percent or less) is emitted compared to the much higher quantity
of UVA radiation and there is no measurable UVC radiation below
260 nanometers. These sunlamps require a much longer exposure to
cause erythema and/or tanning and the acute hazard of severe sunburn
appears to be reduced greatly. Consequently, the question has been
raised concerning which sunlamp products are subject to the Sunlamp
Product Performance Standard, 21 CFR 1040.20.
The
position of the Bureau of Radiological Health is that the performance
standard (21 CFR 1040.20) applies to all sunlamp products (including
UVA sunlamp products) or ultraviolet lamps intended for skin tanning
which emit ultraviolet radiation with wavelengths in air between
180 and 320 nanometers. Recommended initial exposure intervals for
skin tanning products that emit 2 percent or less of UVB radiation
are often in excess of one-half hour duration. Since these lengthy
exposure intervals do not appear to pose severe erythema problems,
the bureau will be amendable to variance requests for an extension
of the maximum timer interval (21 CFR 1040.20(c)(20) and modification
of the wording of warning labels (21 CFR 1040.20(d) to achieve the
same degree of safety and freedom from hazard intended by the standard.
Also, the Bureau will consider amendments to the sunlamp standard
to eliminate the need for variances for sunlamp products which emit
a low percentage of UVB radiation. Since sunlamp products which
emit 2 percent or less of UVB radiation were not considered in formulating
the standard and variances from certain requirements may be appropriate,
the Bureau of Radiological Health will not take enforcement action
against such products for failure to comply if manufactured prior
to Oct. 7, 1980. This will allow adequate time for these products
to be designed and manufactured in compliance with the standard
and for variance applications to be submitted and acted on. However,
this policy will not apply to conventional UVB sunlamp products,
e.g., the RS sunlamp, bi-pin fluorescent type sunlamp and the quartz
sunlamp.
Manufacturers
should note that sunlamp products which emit only UVA radiation
and, thus, are not subject to the performance standard for sunlamp
products, are still subject to the FDA requirements applicable to
medical devices (under the Medical Device Amendments of 1976) and
to the defect provisions of the Radiation Control for Health and
Safety Act of 1968 (21 CFR 1003). The equipment recommendations
for tanning booths issued by the Bureau of Radiological Health on
Nov. 16, 1979, should be considered in any design or testing program
for these products. While such items as the 10 minute limit for
the timer may not be appropriate, the maximum timer error of + or
- 10 percent is still important as is the wearing of appropriate
UVA protective eyewear by tanners.
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