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 2017-05-25 for SCULPSURE 100-7026-010 manufactured by Cynosure Inc.

Event Text Entries

[76012557] Patient received (b)(4) for preventative post care treatment following the laser procedure, but was prescribed antibiotics as a medical intervention from a physician to treat the affected area. The patient's blistered area is expected to scar, resulting in a permanent injury. User error was involved in this incident because the operator treated the patient's flanks where it had areas of skin folds and was close to the hip bone. It is cautioned in the clinical guidelines that treating over these areas can result in adverse skin effects: "do not treat over areas of deep, thick skin folds where the applicator may not cool the area adequately. Discomfort and adverse skin effects may result. " and "do not treat over scars or bony areas such as the hips or ribs. Discomfort and adverse skin effects may result". The device was evaluated and found to be operating as intended. Blisters are expected side effects from laser treatment, however based on the degree of the patient's injury requiring an intervention, this is a reportable event.
Patient Sequence No: 1, Text Type: N, H10


[76012558] Patient developed a large blister from a laser procedure on the flanks area.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1222993-2017-00020
MDR Report Key6592779
Report SourceCONSUMER
Date Received2017-05-25
Date of Report2017-05-25
Date of Event2017-04-19
Date Mfgr Received2017-04-27
Date Added to Maude2017-05-25
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 FDA3
Event Location3
Manufacturer Street5 CARLISLE RD
Manufacturer CityWESTFORD MA 01886
Manufacturer CountryUS
Manufacturer Postal01886
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSCULPSURE
Generic NameSCULPSURE
Product CodePKT
Date Received2017-05-25
Catalog Number100-7026-010
Device AvailabilityN
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCYNOSURE INC
Manufacturer Address5 CARLISLE RD WESTFORD MA 01886 US 01886


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-05-25

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