FDA Adverse Event Injury Summary report: N

+VOUPRE L'RAE

MDR report key: 13619154 · Received February 25, 2022

Report

Report Number
MW5107755
Event Type
Injury
Date Received
February 25, 2022
Date of Event
February 23, 2022
Report Date
February 24, 2022
Manufacturer
VOUPRE
Product Code
PAY
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
117
Health Professional
Yes

Narratives

Description of Event or Problem · 0

DATE OR INTERACTION: (B)(6) 2022. PATIENT REPORTS HYPERPIGMENTATION, DISCOLORATION, SWELLING AND ERYTHEMA WITH USE OF DEVICE AND PRODUCTS LABELED +VOUPRE PURCHASED IN LOCATION IN (B)(6). PACKAGING INCLUDES "FDA CLEARED" LABELING AS WELL AS "PATENT PENDING". PACKAGING AND PRODUCTS DO NOT HAVE SEALS, SHRINK WRAP OR UL LABELING ON THE DEVICES OR PRODUCTS. PATIENT REPORTS THAT THE MEDICAL PROVIDER AND REPRESENTATIVES MISCHARACTERIZED THE PRODUCTS AS HAVING PHYSICAL AND COSMETIC HEALTH BENEFITS. PATIENT REPORTS SHE WAS NOT ADVISED OF ACTIVE INGREDIENTS OR WAS EVALUATED FOR MEDICAL OR ALLERGIC POTENTIAL OF TREATMENT. PATIENT REPORTS THAT SHE HAS BEEN EVALUATED FOR INFECTIOUS CONJUNCTIVITIS AT (B)(6) DATE OF SERVICE (B)(6) 2022. PRESCRIBED ANTIBIOTICS AND DISCHARGED OUTPATIENT. CONCERN FOR INFECTION RISK, MANUFACTURING DEFECT AND MISREPRESENTATION TO CONSUMERS FOR FALSE ADVERTISING AND MEDICAL DEVICE REPRESENTATION. REPRESENTATIVE FOR COMPANY, +VOUPRE "(B)(4)", IDENTIFIED HIMSELF TO PATIENT AS REPRESENTATIVE OF COMPANY AND DR. (B)(6). CONCERN FOR EXPOSURE TO AT HOME UVA UVB AND INFECTION EXPOSURE. CONCERN FOR UNLABELED PRODUCTS QUALITY CONTROL AND MANUFACTURING. PRODUCTS ARE NOT SEALED, NO SAFETY WRAPPING ON DEVICES. TREATMENT DATES: (B)(6) 2022 OTC, COMPOUNDED; EVENT ABATED AFTER USE STOPPED OR DOSE REDUCED; EVENT REAPPEARED AFTER REINTRODUCTION. FDA SAFETY REPORT ID #:(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
128603 +VOUPRE L'RAE OVER-THE-COUNTER RADIOFREQUENCY COAGULATION DEVICE FOR WRINKLE REDUCTION PAY VOUPRE

Patients

Seq Age Sex Outcome Treatment
1 57 YR Female Required Intervention +VOUPRE THERMAL COLLECTION AND MEDICAL DEVICE:(B)(6)2022-(B)(6) 2022| +VOUPRE THERMAL ESSENTIALS HOME KIT:(B)(6) 2022-(B)(6) 2022