FDA Adverse Event Injury Summary report: N

NEUTROGENA® LIGHT THERAPY ACNE MASK

MDR report key: 8640322 · Received May 24, 2019

Report

Report Number
2214133-2019-00076
Event Type
Injury
Date Received
May 24, 2019
Report Date
April 30, 2019
Manufacturer
JOHNSON & JOHNSON CONSUMER INC
Product Code
OLP
PMA / PMN Number
K123999
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ETHNICITY: PATIENT ETHNICITY AND RACE WAS NOT PROVIDED FOR REPORTING. BRAND NAME: DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA (NTG LIGHT THERAPY ACNE MASK USA). COMMON DEVICE NAME, PROCODE, MFR, LOT #, EXPIRATION DATE, PART #: THIS REPORT IS FOR (NTG LIGHT THERAPY ACNE MASK CAN 62600965035). DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA (NTG LIGHT THERAPY ACNE MASK USA 70501101247). LOT# AND EXPIRATION DATE IS UNKNOWN. (B)(4). DEVICE AVAILABLE FOR EVALUATION: DEVICE IS NOT EXPECTED TO BE RETURNED FOR MANUFACTURER REVIEW/INVESTIGATION. DEVICE EVALUATED BY MFR, MANUFACTURE DATE: DEVICE EVALUATION/INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN AS PRODUCT WAS NOT RETURNED TO MANUFACTURER AND A PRODUCT LOT NUMBER WAS NOT REPORTED. (B)(4). 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

A FEMALE CONSUMER REPORTED FOLLOWING THE USE OF THE NEUTROGENA LIGHT THERAPY ACNE MASK SHE EXPERIENCED AN ACNE BREAKOUT. THE CONSUMER CONTINUED TO USE THE PRODUCT FOR TWO ADDITIONAL SESSIONS AND NOTED THAT SHE EXPERIENCED CYSTIC PIMPLES WITH WHITE PUS AND REDNESS. THE CONSUMER NOTED THEY USED 3-4 SESSIONS IN TOTAL AND EXPERIENCED THE REACTION AFTER THE FIRST USE. THE CONSUMER STOPPED USING THE PRODUCT AND PURCHASED TREATMENT FROM THE PHARMACY (OVER THE COUNTER MEDICATION AND CREAMS). THE CONSUMER ALSO NOTED SHE HAD SCARS AND WAS EXPERIENCING SEVERE ACNE THAT REQUIRED CONSULTATION WITH A DERMATOLOGIST. TREATMENT BY THE DERMATOLOGIST WILL INCLUDE MICRO-NEEDLING SESSIONS AND ACCUTANE (PRESCRIPTION).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
434885 NEUTROGENA® LIGHT THERAPY ACNE MASK ACNE LIGHT THERAPY SYSTEM OLP JOHNSON & JOHNSON CONSUMER INC 062600965035

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention