FDA Adverse Event Injury Summary report: N

GENTLELASE

MDR report key: 4276451 · Received November 7, 2014

Report

Report Number
1218402-2014-00019
Event Type
Injury
Date Received
November 7, 2014
Date of Event
October 2, 2014
Report Date
November 7, 2014
Manufacturer
CANDELA CORP.
Product Code
GEX
PMA / PMN Number
K111144
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CANDELA DOES NOT PROVIDE TREATMENT PARAMETERS FOR MELASMA TREATMENT WITH THIS LASER SYSTEM, SINCE THE DEVICE IS NOT CLEARED FOR THIS INDICATION. INVESTIGATION IS CURRENTLY ON-GOING.

Description of Event or Problem · 1

A SITE IN (B)(6) REPORTED THAT A PATIENT RECEIVED LASER TREATMENT FOR MELASMA. THE DOCTOR PERFORMED 3 PULSES ON THE PATIENT'S FACE AND NOTED THAT THE EPIDERMIS WAS REMOVED ON THE TREATMENT AREA AFTER THOSE 3 PULSES. IT WAS REPORTED THAT THE DOCTOR SAW THE PATIENT AFTERWARDS AND THAT THE PATIENT EXPERIENCED HYPERPIGMENTATION ON THE TREATED AREA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
718627 GENTLELASE DERMATOLOGY LASER GEX CANDELA CORP. 9914-00-0880

Patients

Seq Age Sex Outcome Treatment
1 Other