FDA Adverse Event Malfunction Summary report: N

ICON

MDR report key: 23057266 · Received September 15, 2025

Report

Report Number
1222993-2025-00038
Event Type
Malfunction
Date Received
September 15, 2025
Date of Event
October 11, 2024
Report Date
September 15, 2025
Manufacturer
CYNOSURE LLC
Product Code
GEX
PMA / PMN Number
K142376
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE HISTORY RECORD CONFIRMS THAT THE PRODUCT PASSED AND MET ALL REQUIREMENTS BEFORE RELEASING. SITE CONFIRMED THAT NO PATIENTS WERE PRESENT IN THE ROOM WHEN THE INCIDENT OCCURRED. CYNOSURE FIELD SERVICE ENGINEER (FSE) ARRIVED AT THE SITE AND INSPECTED THE UNIT. FSE REPLACED THE HVPS TO RESOLVE THE ISSUE. FSE THEN TESTED, CALIBRATED THE HANDPIECES, AND TOPPED OFF COOLANT. CYNOSURE LLC IS REPORTING THIS EVENT OUT OF AN ABUNDANCE OF CAUTION SINCE IF IT WERE TO REOCCUR, THE SMOKE AND FIRE CAN CAUSE SERIOUS INJURY.

Description of Event or Problem · 0

SITE REPORTED THAT WHEN THEY TURNED THEIR ICON DEVICE ON FLAMES AND SMOKE CAME OUT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1759577 ICON ICON GEX CYNOSURE LLC

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown