FDA Adverse Event
Injury
Summary report: N
ACCURE ACNE LASER SYSTEM
MDR report key: 20707956
·
Received November 15, 2024
Report
- Report Number
- MW5162580
- Event Type
- Injury
- Date Received
- November 15, 2024
- Date of Event
- July 1, 2024
- Report Date
- November 12, 2024
- Manufacturer
- ACCURE ACNE, INC.
- Product Code
- GEX
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- 505
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
ON (B)(6) 2024 I WAS ACTING AS THE INSTALLATION TECHNICIAN FOR ACCURE ACNE, A LASER DISTRIBUTOR FOR THE ACCURE LASER BUILT BY QUANTA SYSTEM. THE PROCEDURE REQUIRED THAT I TEST FIRED THE LASER AFTER CALIBRATION ON MY ARM. THIS WAS A NEW PROCEDURE, AND THE PREVIOUS PROCEDURE THAT REQUIRED TESTING ON THE TECHNICIAN'S ARM HAD A MAX OF 40C. THE NEW PROCEDURE REQUIRED 45C. I TOOK THE FIRST SHOT, AND IT CAME IN AT 50C. I TOOK 4 MORE SHOTS AROUND MY LEFT ARM FOR AN AVERAGE TREATMENT TEMPERATURE OF 45C, WHICH MEANT THE TEST PASSED. IT HAS BEEN 4 MONTHS AND THE SPOT WHERE THE INITIAL BURN OCCURRED SHOWS A DARK MARK IN THE TYPICAL BURN PATTERN OF THE ACCURE LASER. I HAVE DOCUMENTED THE MARK AND HOW IT HAS CHANGED OVER THE PAST 4 MONTHS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2609295 | ACCURE ACNE LASER SYSTEM | POWERED LASER SURGICAL INSTRUMENT | GEX | ACCURE ACNE, INC. | PFMS00004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |