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