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