FDA Adverse Event Injury Summary report: N

BODYTITE

MDR report key: 19803552 · Received July 23, 2024

Report

Report Number
3010511300-2024-00547
Event Type
Injury
Date Received
July 23, 2024
Date of Event
May 8, 2024
Report Date
July 23, 2024
Manufacturer
INMODE LTD.
Product Code
GEI
UDI-DI
07290016633337
PMA / PMN Number
K233642
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
117

Narratives

Additional Manufacturer Narrative · 0

PATIENT PRESENTED WITH NEURAPRAXIA OF THE UPPER LIP 1 WEEK POST FACETITE PROCEDURE WITH SENSORY FUNCTIONS INTACT. NO TECHNICAL ISSUES WERE FOUND IN THE SYSTEM DURING SERVICE INSPECTION. THE HANDPIECE WAS NOT RETURNED FOR INSPECTION. TREATMENT SETTINGS WERE CONGRUENT WITH THE PROTOCOL. INVESTIGATION ATTRIBUTED THE ROOT CAUSE TO A USER ERROR: THE OPERATOR WORKED IN THE "NO FLY ZONE", WHERE THE BUCCAL BRANCH OF THE FACIAL NERVE PASSES, CAUSING THE REPORTED NEUROPRAXIA OF THE UPPER LIP. PER LATEST UPDATE FROM THE CLINIC, THE CONDITION IS IMPROVING WITH GRADUAL RESTORATION OF THE MOTOR ACTIVITY OF THE UPPER LIP.

Description of Event or Problem · 0

NEUROPRAXIA OF UPPER LIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2479315 BODYTITE GEI GEI INMODE LTD. AG604881A 07290016633337

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other