FDA Adverse Event Injury Summary report: N

SPLENDOR X

MDR report key: 24005641 · Received January 8, 2026

Report

Report Number
3020611964-2026-00001
Event Type
Injury
Date Received
January 8, 2026
Date of Event
December 11, 2025
Report Date
January 8, 2026
Manufacturer
BIOS SRL
Product Code
GEX
UDI-DI
08052049500067
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
NJ, US
Reporter Occupation
OTHER

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. AN EXAMINATION OF THE SUBJECT DEVICE WAS PERFORMED BY LUMENIS SERVICE ENGINEER AFTER VERIFYING ALL SYSTEM FUNCTIONS INCLUDING PERFORMING FULL SYSTEM ALIGNMENT AND CALIBRATION. UNABLE TO REPRODUCE ROOT CAUSE OFF ISSUE REPORTED BY CUSTOMER. OBSERVED SMALL SPOT-ON FOCUS LENS. CHECKED ALL OPTICS. REPLACED FOCUS LENS, 45 DEGREE, REPLACED YAG LAMP AND COOLING HOSE HAD CRIMP, ALL REPLACED PROACTIVELY. PERFORMED ALL STEPS ON SERVICE CHECKLIST. THE SYSTEM OPERATING WITHIN LUMENIS SPECIFICATION. THE DEVICE WAS INSTALLED ON (B)(6) 2025, AND STILL UNDER WARRANTY. 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 NOT THE MANUFACTURER OF THE SPLENDOR X DEVICE, WHICH WAS USED DURING THIS PROCEDURE, LUMENIS HAS FORWARDED THE INFORMATION OF THIS EVENT TO THE LEGAL MANUFACTURER AND IS CLOSING THIS COMPLAINT.

Description of Event or Problem · 0

LUMENIS RECEIVED AN ADVERSE EVENT REPORT ON A PATIENT WHO SUSTAINED INJURY FOLLOWING TREATMENT BY SPLENDOR X DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
61739 SPLENDOR X FAMILY OF SQUARE EPIL (ALEX, ALEX2, ND:YAG, ALEX+ND:YAG) GEX BIOS SRL SPLENDOR X 08052049500067

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other