IN LIGHT WELLNESS SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-01-30 for IN LIGHT WELLNESS SYSTEM manufactured by In Light Wellness Systems.

Event Text Entries

[66383554] Exposure to "in light wellness system" aggravated a pre-existing herpesviral keratitis (800. 52) eye infection that was virtually in remission. Infection was re-ignited, with significant inflammation and damage to my cornea, despite use of zirgen at the time. There were no warnings or questions regarding eye infections, light was directed to eyes. (b)(6) was the practitioner who utilized the light therapy.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5067595
MDR Report Key6294201
Date Received2017-01-30
Date of Report2017-01-30
Date of Event2016-12-30
Date Added to Maude2017-02-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameIN LIGHT WELLNESS SYSTEM
Generic NameTHERAPEUTIC HEATING LAMP
Product CodeILY
Date Received2017-01-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerIN LIGHT WELLNESS SYSTEMS


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2017-01-30

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