DRX SPECTRALITE EYECARE PRO MASQUE LRD 6 9586656711 0

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-21 for DRX SPECTRALITE EYECARE PRO MASQUE LRD 6 9586656711 0 manufactured by Dr. Dennis Gross Skincare Llc.

Event Text Entries

[109040889] Dr. Dennis gross drx spectralite eyecare pro masque led is "fda cleared. " it is essentially a pair of goggles that delivers a full spectrum of light to decrease fine line and wrinkle around the eyes and the mid forehead area. It is harmful. The instructions are to use the product daily for 10 wks. I purchased the device on (b)(6) 2018 and used it for 4 wks. I developed a dark red patch on my forehead on (b)(6). The red patch was actually covering an ulcer, similar to a decubitus ulcer. It opened up and required a dr visit. The pain was a searing, burning pain. As of this writing on (b)(6), it still has not healed and is likely to cause scarring or future treatment. Dates of use: (b)(6) 2018 - (b)(6) 2018.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077384
MDR Report Key7534222
Date Received2018-05-21
Date of Report2018-05-07
Date of Event2018-04-22
Date Added to Maude2018-05-22
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 NameDRX SPECTRALITE EYECARE PRO MASQUE LRD
Generic NameLIGHT BASED WRINKLE REDUCTION
Product CodeOHS
Date Received2018-05-21
Model Number6 9586656711 0
OperatorLAY USER/PATIENT
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerDR. DENNIS GROSS SKINCARE LLC
Manufacturer Address444 MADISON AVE STE 500 NEW YORK NY 10022 US 10022


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2018-05-21

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