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 |