LIGHT RELIEF LR150

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-11-05 for LIGHT RELIEF LR150 manufactured by Lightrelief, Llc.

Event Text Entries

[59393775] Sudden death. Took bumex for 8 days as prescribed, he was a border line diabetic male and (b)(6). The medication has no warning on it for sudden death, but reviews show it causes sudden death. He was in perfect athletic condition prior to burning foot with a light device called "light relief". It is infrared light. While he was using the device, it 3rd degree burned his foot and toe, which caused in infection and retention of water in his body and death. He burned his foot with the light on (b)(6) and died on (b)(6) 2016. Dose or amount: 1 tablet, frequency: every 12 hrs, route: taken by mouth, applied to a surface, usually the skin. Event abated after use stopped or dose reduced: no. Dates of use: (b)(6) 2016. Diagnosis or reason for use: the bumex to remove retained water after burn, pain in foot.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5065873
MDR Report Key6085455
Date Received2016-11-05
Date of Report2016-11-05
Date of Event2016-08-14
Date Added to Maude2016-11-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLIGHT RELIEF
Generic NameLIGHT RELIEF
Product CodeILY
Date Received2016-11-05
Model NumberLR150
Lot NumberLR150
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLIGHTRELIEF, LLC
Manufacturer AddressLOS ANGELES CA 90010 US 90010


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2016-11-05

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