VANQUISH

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2014-02-12 for VANQUISH manufactured by Btl Industries Limited.

Event Text Entries

[19457808] Btl industries followed up with the physician's office to gather additional information. Per the physician's office patient reported hot spots during the treatment. And also, patient reports that she did try to "tough it out" even when the treatment was getting a little too hot. Per the information provided by physician office, the procedure on (b)(6) 2013 was conducted with no malfunctions. Btl industries reviewed the system logs for the treatment date and confirmed that no system malfunction occurred. A f/u report will be made to the agency if and when new information is received about this case.
Patient Sequence No: 1, Text Type: N, H10


[19485353] Reported that a female patient treated by vanquish complained of burns and blisters in the treated area. No signs of injury immediately after the treatment. The following day injury appeared. Patient was seen by doctor and was prescribed topical burn cream silvadene and antibiotic doryx - 125 mg.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005028741-2014-00001
MDR Report Key3641112
Report Source06
Date Received2014-02-12
Date of Report2014-02-03
Date of Event2013-12-31
Date Mfgr Received2014-01-13
Device Manufacturer Date2013-10-01
Date Added to Maude2014-02-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street47 LORING DR
Manufacturer CityFRAMINGHAM MA 01702
Manufacturer CountryUS
Manufacturer Postal01702
Manufacturer Phone8662851656
Manufacturer G1BTL INDUSTRIES LTD
Manufacturer Street30 PESHTERSKO SHOUSE BLVD
Manufacturer CityPLOVDIV 4002
Manufacturer CountryBU
Manufacturer Postal Code4002
Single Use3
Remedial ActionPM
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVANQUISH
Product CodeIMJ
Date Received2014-02-12
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBTL INDUSTRIES LIMITED
Manufacturer Address30 PESHTERSKO SHOUS BLVD PLOVDIV 4002 BU 4002


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-02-12

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