LIGHT RELIEF

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-12-19 for LIGHT RELIEF manufactured by Light Relief.

Event Text Entries

[4125558] Pt stated that he experienced multiple deep slow burns while using his light relief therapy for muscle pain. He described the burns as half a thumb tack size all over his back and chest. He stated that the burns were red the first day and turned black on the second day. He stated that the burns are very painful and feel as though they are deep into his muscle and bone. He also stated that he has right shoulder and arm weakness. He alleged that the device does not have adequate warning labels. He stated that he plans to see a physician.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5033541
MDR Report Key3532947
Date Received2013-12-19
Date of Report2013-12-19
Date of Event2013-12-08
Date Added to Maude2013-12-24
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLIGHT RELIEF
Generic NameINFRARED LIGHT THERAPY
Product CodeILY
Date Received2013-12-19
Device Sequence No1
Device Event Key0
ManufacturerLIGHT RELIEF
Manufacturer AddressVAN NUYS CA 91409 US 91409


Patients

Patient NumberTreatmentOutcomeDate
10 2013-12-19

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