FDA Adverse Event
Injury
Summary report: N
TRIA LASER HAIR REMOVAL SYSTEM
MDR report key: 4112866
·
Received September 17, 2014
Report
- Report Number
- 3005572989-2014-00002
- Event Type
- Injury
- Date Received
- September 17, 2014
- Date of Event
- June 2, 2014
- Report Date
- September 17, 2014
- 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
PRODUCT WAS NOT RETURNED FOR INVESTIGATION. THE DEVICE LABELING INDICATED THE PRODUCT IS NOT TO BE USED ON A MAN'S FACE. JAW OR NECK; THEREFORE, DEVICE WAS USED OFF-LABEL.
Description of Event or Problem · 1
CUSTOMER REPORTED PERSISTENT AREAS OF UNEVEN TEXTURE AND ERYTHEMA ON BOTH CORNERS OF LIPS AFTER TREATMENT WITH THE TRIA HAIR REMOVAL LASER. CUSTOMER USED OTC TOPICAL ON THE AFFECTED AREAS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 577052 | TRIA LASER HAIR REMOVAL SYSTEM | HAIR REMOVAL LASER | GEX | TRIA BEAUTY | GEN 4X | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Disability |