FDA Adverse Event Injury Summary report: N

SMARTLIPO MPX

MDR report key: 3850602 · Received May 22, 2014

Report

Report Number
1222993-2014-00016
Event Type
Injury
Date Received
May 22, 2014
Date of Event
April 17, 2014
Report Date
May 22, 2014
Product Code
GEX
PMA / PMN Number
K062321
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE LASER SYSTEM IS NOT A SINGE USE DEVICE. PHYSICIAN USED A SINGLE FIBER MULTIPLE TIMES AND THE PT IS INJURED.

Description of Event or Problem · 1

PHYSICIAN TREATING CUSTOMER TO REMOVE FAT FROM NECK AND CHIN AREA. PHYSICIAN USED A SINGLE USE FIBER MULTIPLE TIMES AND PT PRESENT WITH A BURN AND IS PRESCRIBED SILVANDENE CREAM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
306587 SMARTLIPO MPX GEX

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention