FDA Adverse Event
Injury
Summary report: N
ELITE MD
MDR report key: 6073636
·
Received November 2, 2016
Report
- Report Number
- 1222993-2016-00053
- Event Type
- Injury
- Date Received
- November 2, 2016
- Date of Event
- October 3, 2016
- Report Date
- November 2, 2016
- Manufacturer
- CYNOSURE INC
- Product Code
- GEX
- PMA / PMN Number
- K034030
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OR, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
PATIENT WAS PRESCRIBED TOPICAL HYDROCORTISONE AND 1% SILVER SULFADIAZINE AS INTERVENTION MEDICATION FOR POST CARE TREATMENT. TREATMENT SETTINGS WERE WITHIN CLINICAL GUIDELINES. DEVICE WAS EVALUATED AND FOUND TO BE OPERATING AS INTENDED. BURNS ARE AN EXPECTED SIDE EFFECT FROM LASER TREATMENTS, BUT REPORTABLE IN THIS INCIDENT SINCE THE PATIENT HAD MEDICATION FOR INTERVENTION USE.
Description of Event or Problem · 1
PATIENT DEVELOPED PINPOINT BURNS FROM A LASER TREATMENT ON THE UNDER-ARM AREA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 723898 | ELITE MD | ELITE MD | GEX | CYNOSURE INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |