FDA Adverse Event
Injury
Summary report: N
VECTUS LASER SYSTEM
MDR report key: 4935975
·
Received July 23, 2015
Report
- Report Number
- 1222993-2015-00029
- Event Type
- Injury
- Date Received
- July 23, 2015
- Date of Event
- June 20, 2015
- Report Date
- July 23, 2015
- Manufacturer
- CYNOSURE INC
- Product Code
- GEX
- PMA / PMN Number
- K120622
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
THIS INCIDENT INVOLVED USER ERROR BECAUSE THE SCABBING WAS A RESULT OF THE OPERATOR NOT CLEANING THE DEBRIS OFF THE OPTICS DURING LASER TREATMENT. TREATMENT WAS NOT WITHIN GUIDELINES. THERE WAS NO MEDICATION PRESCRIBED AND NO PROBLEM WAS FOUND WITH THE LASER. SCABBING IS AN EXPECTED REACTION FROM LASER TREATMENTS, BUT IS REPORTABLE IN THIS INCIDENT BECAUSE OF USER ERROR.
Description of Event or Problem · 1
PATIENT EXPERIENCED SCABBING (EXPECTED REACTION FROM HAIR REMOVAL LASER TREATMENT), BUT IS REPORTABLE BECAUSE IT WAS CAUSED BY USER ERROR AND HAS NOT YET HEALED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 480635 | VECTUS LASER SYSTEM | VECTUS | GEX | CYNOSURE INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Other |