SCULPSURE 100-7026-010

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2016-10-28 for SCULPSURE 100-7026-010 manufactured by Cynosure Inc.

Event Text Entries

[58661271] Patient was given levaquin as intervention medication and topical antibiotic mupirocin ointment for preventative post care treatment. User of device treated on patient's skin area that was previously affected from a prior surgery. This treatment, however, was not performed per the clinical guidelines since it contraindicates against performing laser procedures upon skin where a patient had a previous procedure/surgery. This incident led to the patient developing an infection on the affected treatment area. Customer site declined a device evaluation from cynosure, but informed that the device was operating without any problems. This event is reportable because the patient had intervention medication. Patient is now healing well. Customer declined and user error.
Patient Sequence No: 1, Text Type: N, H10


[58661272] Patient had intervention medication for a burn that developed on its abdomen.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1222993-2016-00050
MDR Report Key6064302
Report SourceCONSUMER
Date Received2016-10-28
Date of Report2016-10-26
Date of Event2016-09-28
Date Mfgr Received2016-09-28
Date Added to Maude2016-10-28
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 FDA3
Event Location3
Manufacturer ContactCYNOSURE INC
Manufacturer Street5 CARLISLE RD.
Manufacturer CityWESTFORD MA 01886
Manufacturer CountryUS
Manufacturer Postal01886
Manufacturer Phone9783678736
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSCULPSURE
Generic NameSCULPSURE
Product CodePKT
Date Received2016-10-28
Catalog Number100-7026-010
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerCYNOSURE INC
Manufacturer Address5 CARLISLE RD WESTFORD MA 01886 US 01886


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-10-28

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