FDA Adverse Event Malfunction Summary report: N

LED FACE MASK

MDR report key: 14495295 · Received May 24, 2022

Report

Report Number
MW5109905
Event Type
Malfunction
Date Received
May 24, 2022
Date of Event
May 20, 2022
Report Date
May 21, 2022
Manufacturer
UNK
Product Code
KHA
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CO, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

AS A FORMER REGULATORY PROFESSIONAL, I'M VERY AWARE OF LABELING REQUIREMENTS FOR BOTH CLASS III AND 510K CLEARED DEVICES. I RECENTLY ORDERED FROM (B)(6) A LED FACE MASK DEVICE. THE ADVERTISEMENT ON (B)(6), THE DISTRIBUTOR, IS CALLED "FDA CLEARED LED FACIAL SKIN CARE MASK LIGHT TREATMENT LED FACIAL MASK LED FACE MASK LIGHT THERAPY WITH RED LIGHT THERAPY AND FACE AND NECK". I ORDERED IT ON (B)(6) 2022, IT WAS RECEIVED ON (B)(6) 2022. I DID NOT INSPECT THE DEVICE TILL YESTERDAY, (B)(6) 2022, BECAUSE IT WAS A BIRTHDAY PRESENT. THE INFORMATION DID NOT MENTION CONTRAINDICATIONS, I.E., THYROID DISEASE. THE DATE OF RETURN WAS CLOSED ((B)(6) 2022) ALTHOUGH I THOUGHT I HAD 60 DAYS. UPON INSPECTION OF THE 510K DEVICE, THE LABELING IS CLEARING DEFICIENT. THERE IS NO LABELING THAT IDENTIFIES IT AS A 510K CLEARED DEVICE. NO LOT NUMBERS, NO NAME OF MANUFACTURER, NO EXPIRATION DATES. INSTRUCTIONS WERE ALMOST UNREADABLE, WRITTEN BY SOMEONE WHOSE FIRST LANGUAGE IS NOT ENGLISH, LIKELY (B)(6). AND THE CONTRAINDICATIONS PARAGRAPH CALLED "PROHIBIT THE USE OF CROWD" STATES, "PREGNANT WOMEN, CHILDREN AND THYROID DISEASE" ARE NOT TO USE THE DEVICE. THIS SHOULD HAVE BEEN WRITTEN IN THE DESCRIPTION OF THE DEVICE ON (B)(6). THE LABELING REQUIREMENTS ARE NOT FDA BONA FIDES. NAME OF THE COMPANY THAT MAKES (OR COMPOUNDS) THE PRODUCT: (B)(4). I NEVER USED THE DEVICE. INSTRUCTIONS WEREN'T CLEAR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2159661 LED FACE MASK MASK, SCAVENGING KHA UNK

Patients

Seq Age Sex Outcome Treatment
1 66 YR Female