FDA Adverse Event Injury Summary report: N

LIGHTSHEER DESIRE

MDR report key: 23333910 · Received October 19, 2025

Report

Report Number
3021349626-2025-00009
Event Type
Injury
Date Received
October 19, 2025
Date of Event
September 22, 2025
Report Date
October 19, 2025
Manufacturer
LUMENIS BE LTD
Product Code
GEX
UDI-DI
07290109140384
PMA / PMN Number
K170179
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

LUMENIS INVESTIGATED THE REPORTED EVENT BY CONTACTING THE USER FACILITY DIRECTLY. ATTEMPTS BY EMAILS AND PHONE CALLS HAVE BEEN MADE TO OBTAIN; PATIENT TREATMENT SETTINGS, PATIENT INFORMATION AND PATIENT PHOTO. NO INCIDENT FORM OR PATIENT PHOTO HAS BEEN RECEIVED IN LUMENIS. THE DEVICE WAS INSTALLED ON (B)(6) 2015 AND LAST PM WAS ON (B)(6) 2025. AN EXAMINATION OF THE SUBJECT DEVICE WAS PERFORMED BY LUMENIS SERVICE ENGINEER AFTER VERIFYING ALL SYSTEM FUNCTIONS INCLUDING OUTPUT ENERGY VERIFICATION, FOUND ALL POWER PARAMETERS WITHIN LUMENIS SPECIFICATIONS. NO DEVICE MALFUNCTION WAS OBSERVED. THE SYSTEM WAS OPERATIONAL AND WAS READY FOR USE. DEVICE MALFUNCTION WASN'T THE SUSPECTED CAUSE OF THE ADVERSE EVENT. CLINICAL EVALUATION WASN'T PERFORMED, SINCE NO INCIDENT FORM OR PHOTOS WERE SENT TO LUMENIS. WHILE THE INFORMATION RECEIVED TO DATE DOES NOT CONFIRM THAT A SERIOUS INJURY NOR MALFUNCTION HAD OCCURRED, BECAUSE OF THE LACK OF INFORMATION LUMENIS IS REPORTING THE EVENT IN AN 'ABUNDANCE OF CAUTION'. SHOULD ADDITIONAL SIGNIFICANT INFORMATION BECOME AVAILABLE, THE COMPLAINT RECORD WILL BE UPDATED ACCORDINGLY, AND A FOLLOW-UP MEDWATCH REPORT WILL BE SUBMITTED. LUMENIS IS CLOSING THIS COMPLAINT BUT WILL CONTINUE TO MONITOR THIS FAILURE MODE; COMPLAINT TRENDING WILL CONTINUE TO MONITOR PER GLOBAL COMPLAINT HANDLING SOP (DOC NO. (B)(4) AND PER POST MARKETING SURVEILLANCE PROCEDURE (DOC NO. (B)(4).

Description of Event or Problem · 0

LUMENIS RECEIVED AN ADVERSE EVENT REPORT ON SEVERAL PATIENTS WHO SUSTAINED BURNS USING HS HANDPIECE FOLLOWING TREATMENT BY LIGHTSHEER DESIRE DEVICE. SINCE NO INCIDENT FORM RECEIVED IN LUMENIS, THIS COMPLAINT WILL REPRESENT ALL INJURED PATIENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1617793 LIGHTSHEER DESIRE SOLID STATE AESTHETIC LASER DELIVERY DEVICE GEX LUMENIS BE LTD LIGHTSHEER DESIRE 07290109140384

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other