FDA Adverse Event Injury Summary report: N

N/A

MDR report key: 11739286 · Received April 28, 2021

Report

Report Number
1222993-2021-00010
Event Type
Injury
Date Received
April 28, 2021
Date of Event
July 1, 2013
Report Date
April 28, 2021
Manufacturer
EL. EN. ELECTRONIC ENGINEERING SPA
Product Code
GEX
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION WAS REQUESTED FROM THE PATIENT, BUT NONE WAS PROVIDED DESPITE MULTIPLE REQUESTS FROM CLINICAL. THEREFORE, CYNOSURE IS UNABLE TO DETERMINE THE DEVICE INFORMATION SUCH AS A SERIAL NUMBER TO FURTHER INVESTIGATE THIS COMPLAINT OR PERFORM A DEVICE ANALYSIS. CYNOSURE ALSO CANNOT DETERMINE THE DEVICE USED BASED ON THE MEDWATCH REPORT. CYNOSURE IS REPORTING THIS EVENT OUT OF AN ABUNDANCE OF CAUTION AND BASED ON THE INFORMATION IN THE MEDWATCH REPORT STATING THE PATIENT EXPERIENCED ADVERSE EFFECTS AND SOUGHT MEDICAL INTERVENTION.

Description of Event or Problem · 1

MEDWATCH REPORT #MW5099296 WAS RECEIVED WITH REPORT THAT A PATIENT UNDERWENT A MONALISA TOUCH TREATMENT AND EXPERIENCED PAIN AND BLADDER INFECTIONS. THE PATIENT WAS SEEN BY A UROLOGIST WHO DETERMINED THE PATIENT DOES NOT HAVE ANY MORE LINING IN HER BLADDER. PATIENT STATES TO HAVE BLADDER INFECTIONS INCLUDING A RESISTANT BACTERIA AND CAN NO LONGER HAVE INTERCOURSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
633317 N/A GEX EL. EN. ELECTRONIC ENGINEERING SPA

Patients

Seq Age Sex Outcome Treatment
1 Other