FDA Adverse Event Injury Summary report: N

GENTLE LASE PRO

MDR report key: 2440345 · Received February 1, 2012

Report

Report Number
1218402-2012-00002
Event Type
Injury
Date Received
February 1, 2012
Date of Event
December 30, 2011
Report Date
February 1, 2012
Manufacturer
CANDELA CORP.
Product Code
GEX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS INSTALLED AT THE USER SITE (B)(6) 2011. THERE HAVE BEEN NO CLINICAL COMPLAINTS FROM THE USER SITE OR REGARDING THIS SPECIFIC SERIAL NUMBER SINCE THAT TIME. THE PRODUCT DEVICE HISTORY RECORD AND SERVICE HISTORY WERE REVIEWED (B)(4) 2012 WITH NO CONCLUSIONS MADE. THE TREATMENT PARAMETERS REPORTEDLY USED BY THE OPERATOR WERE: 15MM SPOT SIZE, 30MS PULSE DURATION, 30J/CM2, WHICH ARE NOT WITHIN THE PARAMETERS FOR THE PT'S SKIN TYPE AS RECOMMENDED BY (B)(4) TREATMENT GUIDELINES. BASED ON WHAT WAS REPORTED BY THE SITE, THE TREATMENT PARAMETERS THAT WERE USED MAY HAVE BEEN A CONTRIBUTING FACTOR TO THE INJURY.

Description of Event or Problem · 1

IT WAS REPORTED THAT A PT RECEIVED A LASER HAIR REMOVAL TREATMENT ON BOTH LEGS. THE PT RETURNED TO THE SITE THE NEXT MORNING TO REPORT THAT SHE HAD RECEIVED BURNS ONLY ON HER LEFT KNEE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GENTLE LASE PRO DERMATOLOGY LASER GEX CANDELA CORP. 9914-00-9015 NA

Patients

Seq Age Sex Outcome Treatment
1 Disability