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 |