FDA Adverse Event Malfunction Summary report: N

THOR PHOTOMEDICINE LTD

MDR report key: 20890997 · Received December 10, 2024

Report

Report Number
3003899624-2024-00007
Event Type
Malfunction
Date Received
December 10, 2024
Date of Event
November 11, 2024
Report Date
December 10, 2024
Manufacturer
THOR PHOTOMEDICINE LTD
Product Code
ILY
UDI-DI
05060494130558
PMA / PMN Number
K033923
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE PRACTITIONER REPORTED THAT THE PATIENT HAD PREVIOUSLY ATTENDED TEN APPOINTMENTS FOR THE SAME TREATMENT, USING THE SAME LASER PROBE, WITH IDENTICAL SETTINGS, DURATION, AND APPLICATION TO SOME OF THE SAME BODY AREAS, WITHOUT ANY ADVERSE EFFECTS. SINCE THE PATIENT REPORTED THIS EVENT, THE PRACTITIONER NOTED THAT THE PATIENT REMAINED FINE AND UNCONCERNED. THEY ALSO NOTED THAT THE SAME PROBE HAD BEEN USED SUBSEQUENTLY ON SEVERAL OTHER PATIENTS, STAFF MEMBERS, AND EVEN THEMSELVES WITHOUT ANY REPORTS OF HEATING, BURNING, OR OTHER ADVERSE EFFECTS. SINCE 2021, OVER 100 OF THESE PROBES HAVE BEEN IN REGULAR USE, TYPICALLY MULTIPLE TIMES PER DAY, RESULTING IN THOUSANDS OF PATIENT TREATMENTS WITHOUT ANY REPORTED ADVERSE EVENTS. ADDITIONALLY, EXPERIMENTAL USE OF THE PROBE FOR UP TO SIX MINUTES ON A SINGLE ANATOMICAL LOCATION REVEALED NO SIGNIFICANT HEATING OR ADVERSE EFFECTS. INVESTIGATIONS ARE ONGOING TO DETERMINE WHETHER OTHER FACTORS CONTRIBUTED TO OR CAUSED THIS INCIDENT. THE PROBE HAS BEEN REQUESTED TO BE RETURNED FOR TESTING.

Description of Event or Problem · 0

PRACTITIONER USED THE GLC ON A PATIENT WHO HAS HAD THIS SAME TREATMENT MANY TIMES. AFTER THEY GOT HOME, THEY REPORTED WHAT THEY THOUGHT LOOKED LIKE A BURN MARK ON THE SKIN, THE PATIENT DID NOT REPORT ANY DISCOMFORT OR SENSATION AT THE TIME OF TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1504870 THOR PHOTOMEDICINE LTD 810NM 16W LASER CLUSTER (80X200MW) ISSUE 2, PRODUCT CODE: ILY ILY THOR PHOTOMEDICINE LTD S2195 05060494130558

Patients

Seq Age Sex Outcome Treatment
1 NA Female