FDA Adverse Event Other Summary report: N

LUMENIS ONE

MDR report key: 830631 · Received March 13, 2007

Report

Report Number
2914019-2005-00099
Event Type
Other
Date Received
March 13, 2007
Report Date
March 13, 2007
Manufacturer
LUMENIS
Product Code
GEX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

LUMENIS SERVICE EVALUATED THE LUMENIS ONE DEVICE. PER THE CUSTOMER ENGINEER CE, THE IPL TREATMENT HEAD APPEARED TO EXHIBIT UNSTABLE OUTPUT RANGING FROM LOW TO HIGH OUT OF SPEC. PER THE CE, NO PROBLEMS WERE FOUND WITH THE LUMENIS ONE SYSTEM. LUMENIS REPLACED THIS IPL TREATMENT HEAD UNDER WARRANTY. LUMENIS TECHNICAL SUPPORT TESTED THE IPL TREATMENT HEAD ON RECEIPT FROM THE CUSTOMER AND FOUND IT WITHIN SPEC. THE MOST LIKELY ROOT CAUSE APPEARS TO BE THAT THE TREATMENT HEAD HAD AN INTERMITTENT PROBLEM THAT WAS NOT OBSERVED BY LUMENIS TECHNICAL SUPPORT BECAUSE THE PROBLEM WAS JUST DEVELOPING. WITHOUT THE ADD'L DETAILS REQUESTED FROM THE CUSTOMER, NO FURTHER CONCLUSION CAN BE DRAWN REGARDING ROOT CAUSE.

Description of Event or Problem · 1

CUSTOMER REPORTED COMPLAINT OF THE SYSTEM RUNNING HOT IN THE PAST SEVERAL WEEKS AND INJURING SEVERAL PTS IN ASSOCIATION WITH IPL TREATMENTS. THE CUSTOMER DID NOT PROVIDE SPECIFIC INCIDENT DATES OR PT/INCIDENT DETAILS, INCLUDING ANY MEDICAL INTERVENTION, ALTHOUGH LUMENIS REQUESTED THESE DETAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LUMENIS ONE AESTHETIC LASER GEX LUMENIS * *

Patients

Seq Age Sex Outcome Treatment
1 YR Other REQUESTED AND NOT PROVIDED.