FDA Adverse Event Injury Summary report: N

SMARTSKIN LASER SYSTEM

MDR report key: 3830703 · Received May 5, 2014

Report

Report Number
1222993-2014-00013
Event Type
Injury
Date Received
May 5, 2014
Date of Event
February 27, 2014
Report Date
May 2, 2014
Manufacturer
CYNOSURE, INC.
Product Code
GEX
PMA / PMN Number
K081424
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CYNOSURE TECHNICIAN INSPECTED THE LASER SYSTEM AND FOUND NO PROBLEMS.

Description of Event or Problem · 1

THE PHYSICIAN TREATED THE PATIENT'S NECK AND CHEST WITH SMARTSKIN CO2 LASER SYSTEM. THE PT IS BURNED AND PRESENTED WITH KELOID SCARS AFTER THE PHYSICIAN USED INCORRECT SETTING AND OVER TREATED THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
268053 SMARTSKIN LASER SYSTEM SMARTSKIN LASER SYSTEM GEX CYNOSURE, INC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention| S