FDA Adverse Event Injury Summary report: N

NEUTROGENA LIGHT THERAPY ACNE SPOT TREATMENT

MDR report key: 8238764 · Received January 11, 2019

Report

Report Number
2214133-2019-00059
Event Type
Injury
Date Received
January 11, 2019
Report Date
December 13, 2018
Manufacturer
JOHNSON & JOHNSON CONSUMER INC
Product Code
OLP
PMA / PMN Number
K160691
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. PATIENT AGE AT TIME OF EVENT, SEX, WEIGHT AND ETHNICITY AND RACE WERE NOT PROVIDED FOR REPORTING. DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA (NTG LIGHT THERAPY ACNE SPOT TREATMENT USA 70501101315). THIS REPORT IS FOR (NEUTROGENA VISIBLY CLEAR LIGHT THERAPY SPOT TREATMENT AP 6907376834465, 26202392APA, 26202392APA). DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA (NTG LIGHT THERAPY ACNE SPOT TREATMENT USA 70501101315). (B)(4). DEVICE IS NOT EXPECTED TO BE RETURNED FOR MANUFACTURER REVIEW/INVESTIGATION. DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA (NTG LIGHT THERAPY ACNE SPOT TREATMENT USA 70501101315). DEVICE EVALUATION/INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN AS PRODUCT WAS NOT RETURNED TO MANUFACTURER. DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED WITHOUT LOT NUMBER. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CONSUMER EXPERIENCED AN ALLERGY AFTER USING THE NEUTROGENA LIGHT THERAPY ACNE SPOT TREATMENT. THE CONSUMER SOUGHT MEDICAL ATTENTION. NO ADDITIONAL INFORMATION HAS BEEN PROVIDED OR RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
33891 NEUTROGENA LIGHT THERAPY ACNE SPOT TREATMENT OTC POWERED LIGHT BASED LASER FOR ACNE OLP JOHNSON & JOHNSON CONSUMER INC 6907376834465

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention