FDA Adverse Event
Malfunction
Summary report: N
PHILIPS LUMEA COMFORT
MDR report key: 5649992
·
Received May 12, 2016
Report
- Report Number
- 3009226815-2016-00001
- Event Type
- Malfunction
- Date Received
- May 12, 2016
- Date of Event
- January 1, 2016
- Report Date
- February 2, 2016
- Manufacturer
- PHILIPS CONSUMER LIFESTYLE
- Product Code
- GEX
- PMA / PMN Number
- K082298
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THIS IS THE FIRST TIME WE HAVE RECEIVED THIS TYPE OF COMPLAINT. THE UNIT HAS BEEN REQUESTED FROM THE CONSUMER FOR FURTHER EVALUATION. (2016). PLEASE NOTE THAT THE PROBLEM CODES WERE MATCHED AS BEST AS POSSIBLE FROM THE ORGINAL REPORT SUBMITTED IN 2016 BASED ON THE DESCRIPTION OF THE EVENT BY THE CONSUMER.
Description of Event or Problem · 0
THE CONSUMER CLAIMS THAT DURING THE FIRST USE THE DEVICE WAS WORKING AS EXPECTED. AFTER SOME PULSES, THE DEVICE FLASHED IN A MORE INTENSE WAY THAN NORMAL. THE CONSUMER RECEIVED CRAMPS AND REFERENCED THE MORE INTENSE LIGHT AS 'SPARKS'. THE CONSUMER CLAIMS THAT THE UNIT KEPT ON SHUTTING OFF AFTER THAT INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 608061 | PHILIPS LUMEA COMFORT | IPL GEX | GEX | PHILIPS CONSUMER LIFESTYLE | SC1983/00 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female |