FDA Adverse Event Injury Summary report: N

MIRADRY SYSTEM

MDR report key: 12870672 · Received November 24, 2021

Report

Report Number
3008082710-2021-00016
Event Type
Injury
Date Received
November 24, 2021
Date of Event
June 5, 2021
Report Date
November 24, 2021
Manufacturer
MIRADRY INC.
Product Code
OUB
UDI-DI
00853419006008
PMA / PMN Number
K1311162
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

PATIENT FEELS NUMBNESS AND WEAKNESS ON HER FINGER. SHE FELT IT IMMEDIATE AFTER TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1768534 MIRADRY SYSTEM MICROWAVE DERMATOLOGIC SYSTEM OUB MIRADRY INC. MN-MD4000-MC 00853419006008

Patients

Seq Age Sex Outcome Treatment
1 31 YR Female Other