FDA Adverse Event
Malfunction
Summary report: N
DUETTO MT
MDR report key: 14110407
·
Received April 14, 2022
Report
- Report Number
- 3004378299-2022-00065
- Event Type
- Malfunction
- Date Received
- April 14, 2022
- Date of Event
- March 3, 2022
- Report Date
- April 14, 2022
- Manufacturer
- QUANTA SYSTEM S.P.A.
- Product Code
- GEX
- PMA / PMN Number
- K192160
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THE EVENT CONCERNS A DEVICE NOT CLEARED IN THE US. ANYWAY, AS SIMILAR DEVICES OF THE SAME FAMILY ARE CLEARED UNDER K192160, WE DECIDED TO REPORT. DURING A HAIR REMOVAL TREATMENT A BURN ON THE PATIENT CHIN OCCURRED. WE ARE MONITORING THE ENTITY OF THE DAMAGE TO CHECK IF IT WOULD HEAL WITH COMMON MEDICAL TREATMENTS (CREAMS) WITH OR WITHOUT LEAVING A PERMANENT SCAR. THE CAUSE OF THE PRESENT EVENT IS STILL UNDER INVESTIGATION.
Description of Event or Problem · 0
FACIAL BURN (COSMETIC IMPAIRMENT) DURING A HAIR REMOVAL TREATMENT NEAR THE CHIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 256837 | DUETTO MT | AESTHETIC AND DERMATOLOGICAL LASER | GEX | QUANTA SYSTEM S.P.A. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |