FDA Adverse Event
Injury
Summary report: N
MIRADRY SYSTEM
MDR report key: 6111594
·
Received November 17, 2016
Report
- Report Number
- 3008082710-2016-00066
- Event Type
- Injury
- Date Received
- November 17, 2016
- Date of Event
- June 1, 2016
- Report Date
- October 24, 2016
- Manufacturer
- MIRAMAR LABS, INC.
- Product Code
- OUB
- PMA / PMN Number
- K131162
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
NO INFORMATION PROVIDED. AN E-MAIL REPLY WAS SENT TO THE PATIENT WITH REQUEST FOR ADDITIONAL INFORMATION. NO REPLY HAS BEEN RECEIVED TO DATE.
Description of Event or Problem · 1
PATIENT REPORTED THE FOLLOWING INFORMATION VIA EMAIL: I HAD THIS PROCEDURE DONE BACK A YEAR AGO, IN (B)(6) 2015 I AM HAVING VERY A LOT OF PROBLEMS SO FAR. SINCE I HAVE HAD IT DONE I HAVE HAD SEVERAL ABSCESS REMOVED FROM BOTH ARMPITS I BELIEVE THE TOTAL OF 12 WITHIN THE YEAR AND I'M VERY DISCOURAGED BECAUSE IT ALSO HAS STARTED TO SWEAT AGAIN AND SMELL. PLEASE CONTACT ME I NEED TO TALK TO SOMEBODY ABOUT THIS I DON'T KNOW IF THIS IS NORMAL AND I'M GETTING TIRED OF GETTING BUTCHERED UNDER THE KNIFE TO REMOVE THESE ABSCESS. BUT YOU'RE ALSO COSTING ME EXTRA COST.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 761127 | MIRADRY SYSTEM | MICROWAVE DERMATOLOGIC SYSTEM | OUB | MIRAMAR LABS, INC. | MD4000-MC | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 0 YR | Required Intervention |