FDA Adverse Event
Injury
Summary report: N
SKIN CLASSIC
MDR report key: 9641798
·
Received January 28, 2020
Report
- Report Number
- MW5092595
- Event Type
- Injury
- Date Received
- January 28, 2020
- Date of Event
- December 21, 2019
- Report Date
- January 26, 2020
- Manufacturer
- CLAREBEND, INC.
- Product Code
- KCW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
Narratives
Description of Event or Problem · 1
MY DAUGHTER WENT FOR A REGULAR FACIAL. THE FACIALIST PERFORMED A 'NEW TREATMENT' ON HER WITH A MACHINE CALLED SKIN CLASSIC. IT WAS PAINFUL AND LEFT HER WITH PITTED SCARS AND BURN MARKS ON HER ENTIRE CHIN. WE VISITED BOTH A DERMATOLOGIST WHOM SHE SEES REGULARLY AND AFTER THAT A PLASTIC SURGEON. THEY BOTH WERE SHOCKED AT THE DAMAGE THAT WAS DONE TO MY DAUGHTER'S CHIN. SHE WILL NOW NEED LASER TREATMENT AT LEAST 6 ROUNDS AND BOTH DRS FELT IT WOULD NEVER ACTUALLY BE RIGHT. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 103173 | SKIN CLASSIC | EPILATOR, HIGH FREQUENCY, NEEDLE TYPE | KCW | CLAREBEND, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 17 YR | Other |