FDA Adverse Event
Injury
Summary report: N
HARMONY XL
MDR report key: 14691287
·
Received June 14, 2022
Report
- Report Number
- 3004450661-2022-00013
- Event Type
- Injury
- Date Received
- June 14, 2022
- Date of Event
- February 19, 2022
- Report Date
- June 14, 2022
- Manufacturer
- ALMA LASERS, LTD.
- Product Code
- GEX
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- RI, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT A PATIENT WITH SKIN TYPE 6 EXPERIENCED MULTIPLE SMALL AREAS OF SKIN WHITENING FOLLOWING A CARBON TREATMENT. PER LABELING TREATMENT WITH CARBON IS NOT A CLEARED INDICATION FOR THE DEVICE. ALMA LASERS INC. IS REPORTING THIS EVENT OUT OF AN ABUNDANCE OF CAUTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1659316 | HARMONY XL | POWERED LASER SURGICAL INSTRUMENT | GEX | ALMA LASERS, LTD. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 30 YR | Female | Required Intervention |