FDA Adverse Event Injury Summary report: N

DIGNICAP DELTA

MDR report key: 22892520 · Received August 26, 2025

Report

Report Number
3012146457-2025-00006
Event Type
Injury
Date Received
August 26, 2025
Date of Event
July 16, 2025
Report Date
August 26, 2025
Manufacturer
DIGNITANA INC
Product Code
PMC
UDI-DI
00850036106005
PMA / PMN Number
K19111466
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
501

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THERE WAS A BURN ON THE NECK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1406131 DIGNICAP DELTA Scalp cooling system PMC DIGNITANA INC 900-1001 00850036106005

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other