FDA Adverse Event Malfunction Summary report: N

GENTLEMAX

MDR report key: 2926541 · Received January 17, 2013

Report

Report Number
1218402-2013-00001
Event Type
Malfunction
Date Received
January 17, 2013
Date of Event
January 5, 2013
Report Date
January 5, 2013
Manufacturer
CANDELA CORP.
Product Code
GEX
PMA / PMN Number
K112715
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT A LOUD EXPLOSIVE NOISE WAS HEARD COMING FROM A GENTLEMAX LASER AFTER A CANDELA FIELD SVC ENGINEER WAS DONE SERVICING THE LASER. THE FIELD SVC ENGINEER LOST HEARING FOR ABOUT 2 MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
25365 GENTLEMAX DERMATOLOGY LASER GEX CANDELA CORP. 9914-00-0400 NA

Patients

Seq Age Sex Outcome Treatment
1