FDA Adverse Event Malfunction Summary report: N

PICOLAZER

MDR report key: 22384929 · Received July 2, 2025

Report

Report Number
3031944951-2025-00002
Event Type
Malfunction
Date Received
July 2, 2025
Date of Event
March 12, 2025
Report Date
July 1, 2025
Manufacturer
ROHRER AESTHETICS, INC.
Product Code
GEX
UDI-DI
00860564000355
PMA / PMN Number
K192583
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

USER FACILITY QUIT CORRESPONDING AFTER A REPLACEMENT DEVICE WAS SENT TO THEM. MULTIPLE ATTEMPTS, THROUGH PHONE CALLS, VOICE MAIL, ELECTRONIC EMAIL WERE SENT TO REQUEST DAMAGED DEVICE BE RETURNED TO ROHRER AESTHETICS. ALTHOUGH WE CONSIDER THIS CASE CLOSED, AS NO CONFIRMATION CAN BE MADE ON THE FAULTY DEVICE, WE WILL RE-OPEN AND INVESTIGATE THE PRODUCT IF AND WHEN IT IS RETURNED.

Additional Manufacturer Narrative · 0

REPLACEMENT OF THE DEVICE WAS SENT IMMEDIATELY TO USER FACILITY; HOWEVER, THE CUSTOMER HAS FAILED TO RETURN THE DAMAGED DEVICE FOR INVESTIGATION. WE WILL CONTINUE TO COMMUNICATE WITH CUSTOMER TO OBTAIN THE DAMAGED DEVICE TO COMPLETE OUR INVESTIGATION.

Description of Event or Problem · 0

FOLLOW UP REPORT AND CLOSE CASE FOR ORIGINAL 3031944951-2025-00002.

Description of Event or Problem · 0

CUSTOMER IVITA WELLNESS MADE CLAIMS THAT AFTER CLEANING THE PICO HANDPIECE, A "BALL OF FLAME" WAS CREATED WHEN THE MACHINE WAS TURNED ON, CRACKING THE LENSE AND MAKING THE DEVICE UNUSABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
176617 PICOLAZER POWERED LASER SURGICAL INSTRUMENT GEX ROHRER AESTHETICS, INC. PICOLAZER 00860564000355

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown