FDA Adverse Event
Injury
Summary report: N
REMINGTON I-LIGHT HAIR REMOVAL SYSTEM
MDR report key: 11867106
·
Received May 21, 2021
Report
- Report Number
- 3005855240-2021-00001
- Event Type
- Injury
- Date Received
- May 21, 2021
- Date of Event
- March 4, 2021
- Report Date
- May 17, 2021
- Manufacturer
- SHASER INC
- Product Code
- ONF
- PMA / PMN Number
- K140631
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PL
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE IPL6780 IS NOT MARKETED FOR SALE IN THE US AND THEREFORE NOT LISTED WITH FDA. THE MODEL IS HOWEVER SIMILAR IN DESIGN AND FUNCTION AS THE IPL6800 WHICH IS LISTED UNDER 510K NUMBER K140631.
Description of Event or Problem · 1
CONSUMER REPORTED THAT AFTER USING THE DEVICE, SHE DEVELOPED BLISTERS ON HER FOOT AND CALF THAT REQUIRED MEDICAL TREATMENT. DR RECOMMENDED GRANUFLEX DRESSING
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 761806 | REMINGTON I-LIGHT HAIR REMOVAL SYSTEM | LUMENA | ONF | SHASER INC | IPL6780 | 19112902829V |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 30 YR | Other| R |