FDA Adverse Event
Injury
Summary report: N
ENLIGHTEN
MDR report key: 6978573
·
Received October 25, 2017
Report
- Report Number
- 2954354-2017-00003
- Event Type
- Injury
- Date Received
- October 25, 2017
- Date of Event
- September 26, 2017
- Report Date
- September 29, 2017
- Manufacturer
- CUTERA, INC
- Product Code
- GEX
- PMA / PMN Number
- K140727
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
LASER TATTOO REMOVAL TREATMENT # 3 TO RIGHT FOREARM MULTICOLORED TATTOO WITH THE 1064 NM AND 532 NM WAVELENGTHS ON THE ENLIGHTEN DEVICE. ACCORDING TO DOCUMENTATION RECEIVED IN THE COURSE OF OUR INVESTIGATION, IT APPEARS THAT THE SETTINGS USED TO PERFORM THE TREATMENT WERE INCONSISTENT WITH THE RECOMMENDED TREATMENT SETTINGS FOR BOTH THE 1064 NM AND THE 532 NM WAVELENGTHS. ULTIMATELY, THE TREATED AREA DEVELOPED PARTIAL THICKNESS BURNS THAT REQUIRED PROFESSIONAL WOUND MANAGEMENT. BECAUSE THE PHYSICIAN HAS NOT ALLOWED CUTERA FIELD SERVICE REPRESENTATIVES TO INSPECT AND TEST THE LASER FOR REASONS THE PHYSICIAN DESCRIBES AS A HIGH LIKELIHOOD OF LITIGATION, WE HAVE BEEN UNABLE TO DETERMINE IF THE DEVICE PERFORMED AS INTENDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 757327 | ENLIGHTEN | ENLIGHTEN LASER SYSTEM | GEX | CUTERA, INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 47 YR | Required Intervention |