FDA Adverse Event Other Summary report: N

XEO 1064NM ND: YAG LASER

MDR report key: 2467765 · Received February 16, 2012

Report

Report Number
2954354-2012-00005
Event Type
Other
Date Received
February 16, 2012
Date of Event
January 31, 2012
Report Date
February 15, 2012
Manufacturer
CUTERA, INC.
Product Code
GEX
PMA / PMN Number
K023954
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE USER FACILITY DID NOT WANT TO PROVIDE TREATMENT INFORMATION. THE DATE OF THE TREATMENT IS UNKNOWN. THE LASER HAS BEEN EVALUATED AND REPAIRS COMPLETED FOR SEPARATE, UNRELATED ISSUES.

Description of Event or Problem · 1

"KELOID SCAR" DEVELOPED AFTER LASER HAIR REDUCTION TREATMENT TO "AXILLA."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 XEO 1064NM ND: YAG LASER XEO 1064NM ND: YAG LASER GEX CUTERA, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 Other