FDA Adverse Event
Injury
Summary report: N
LEGEND PRO
MDR report key: 11702056
·
Received April 21, 2021
Report
- Report Number
- 1720381-2021-00002
- Event Type
- Injury
- Date Received
- April 21, 2021
- Date of Event
- March 23, 2021
- Report Date
- April 21, 2021
- Manufacturer
- POLLOGEN LTD
- Product Code
- GEI
- UDI-DI
- 07290016586138
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
LUMENIS RECEIVED AN ADVERSE EVENT REPORT ON A PATIENT WHO SUSTAINED BURNS FOLLOWING TREATMENT BY LEGEND PRO DEVICE. DESCRIBED HEAT AS BEING HOTTER THAN A SUNBURN AND WAS IN PAIN. ADVISED CLIENT TO PUT ICE. PATIENT WAS VERY PINK AND SWOLLEN AND SHOWED SIGNS OF A SEVERE HISTAMINE RESPONSE AND POSSIBLE ALLERGIC REACTION. THE CUSTOMER SPOKE TO THE PATIENT EVERY DAY DURING WEEK MONDAY - FRIDAY. ON FRIDAY IT WAS STILL SWOLLEN AND WAS EXPERIENCING ITCHINESS AND PAIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 599324 | LEGEND PRO | ELECTROSURGICAL CUTTING AND COAGULATION DEVICE AND ACCESSORIES, PRODUCT CODE:GEI | GEI | POLLOGEN LTD | LEGEND PRO | 07290016586138 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |