FDA Adverse Event
Injury
Summary report: N
TRIA LASER HAIR REMOVAL SYSTEM
MDR report key: 3377723
·
Received September 25, 2013
Report
- Report Number
- 3005572989-2013-00002
- Event Type
- Injury
- Date Received
- September 25, 2013
- Date of Event
- June 1, 2013
- Report Date
- September 24, 2013
- Manufacturer
- TRIA BEAUTY
- Product Code
- GEX
- PMA / PMN Number
- K090820
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
CUSTOMER WAS ADVISED THAT DEVICE LABELING INDICATED THE DEVICE IS NOT TO BE USED ON THE MALE FACIAL AREA DUE TO GREATER HAIR DENSITY.
Description of Event or Problem · 1
CUSTOMER REPORTED DEVELOPING A BLISTERING SKIN REACTION, FOLLOWED BY PERSISTENT AREAS OF UNEVEN TEXTURE AND ERYTHEMA ON THE CHEEK AFTER TREATMENT WITH THE TRIA HAIR REMOVAL LASER. CUSTOMER USED 1% SILVADENE CREME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 483773 | TRIA LASER HAIR REMOVAL SYSTEM | HAIR REMOVAL LASER | GEX | TRIA BEAUTY | GEN4 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |