FDA Adverse Event Injury Summary report: N

PROFRACTIONAL HANDPIECE

MDR report key: 1612402 · Received February 16, 2010

Report

Report Number
2953696-2010-00006
Event Type
Injury
Date Received
February 16, 2010
Report Date
July 17, 2008
Manufacturer
SCITON, INC.
Product Code
GEX
PMA / PMN Number
070388
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

UPON INVESTIGATION BY SCITON STAFF, IT WAS DETERMINED THAT THE CLINICIAN TREATED THE PATIENT WITHOUT DISINFECTING THE PROFRACTIONAL-XC HANDPIECE. THE INSTRUCTIONS IN THE OPERATOR MANUAL REQUIRES THE HANDPIECE TO BE CLEANED AND DISINFECTED PRIOR TO REUSE. NO MALFUNCTION OF THIS DEVICE WAS REPORTED WITH THIS EVENT.

Description of Event or Problem · 1

A CLINICIAN TREATING A PATIENT WITH NON-DISINFECTED PROFRACTIONAL-XC STANDOFF REPORTED THAT THE PATIENT DEVELOPED INFECTION AND REQUIRED HOSPITALIZATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROFRACTIONAL HANDPIECE 2940 NM LASER GEX SCITON, INC. PROFILE NA

Patients

Seq Age Sex Outcome Treatment
1 NA