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 |