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,health professional report with the FDA on 2018-01-12 for SCULPSURE 100-7026-010 manufactured by Cynosure Inc.

Event Text Entries

[97273081] Patient had a laser procedure on the abdomen/flanks/arms area, but complained of rashes on the abdomen/buttocks/thigh area within one month after the procedure. Customer site stated that they had not seen any negative impact on the patient's treated skin per initial post treatment reactions. The patient had medical intervention at the emergency room and primary care physician where it received keflex and norco medication for intervention care. The patient's blood work was evaluated and returned with normal results. The customer site was unresponsive to cynosure's requests for additional treatment/patient details. The patient's condition does not appear to be related to the sculpsure treatment since there weren't any negative reactions on the patient's skin post laser treatment. In addition, the laser treated skin areas do not match the patient's alleged rash affected areas. Since the patient had medical intervention from the emergency room/physician, this is a reportable event.
Patient Sequence No: 1, Text Type: N, H10


[97273082] Patient developed rashes over the abdomen/thighs/buttocks following a laser procedure
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1222993-2018-00003
MDR Report Key7187258
Report SourceCONSUMER,HEALTH PROFESSIONAL
Date Received2018-01-12
Date of Report2018-01-12
Date of Event2017-12-15
Date Mfgr Received2017-12-15
Device Manufacturer Date2016-03-21
Date Added to Maude2018-01-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHYSICIAN ASSISTANT
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 Received2018-01-12
Catalog Number100-7026-010
OperatorPHYSICIAN ASSISTANT
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 2018-01-12

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.