LS PRO SYSTEMS LOW LEVEL LIGHT THERAPY LSG 264 LSG GENERAL PAD

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-07-17 for LS PRO SYSTEMS LOW LEVEL LIGHT THERAPY LSG 264 LSG GENERAL PAD manufactured by Ls Pro Systems.

Event Text Entries

[114537197] Product overheated and burnt patient during use. The low level laser therapy was advertised as fda approved during trade show. It has come to my attention under further investigation. The units were fda approved and have had 3 incidents of overheating. This has been the most significant. Name and strength: lsg 264, not sure anymore unk. Dose or amount: 2an; frequency: daily. Dates of use: (b)(6) 2018 to (b)(6) 2018. Diagnosis or reason for use: to heal patient's wounds. "is the product compounded: no. Is the product over-the-counter: no. " event abated after use stopped or dose reduced: yes. Event reappeared after reintroduction: yes.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5078463
MDR Report Key7697760
Date Received2018-07-17
Date of Report2018-07-13
Date of Event2018-07-13
Date Added to Maude2018-07-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameLS PRO SYSTEMS LOW LEVEL LIGHT THERAPY
Generic NameLAMP, INFRARED, THERAPEUTIC HEATING
Product CodeILY
Date Received2018-07-17
Model NumberLSG 264
Catalog NumberLSG GENERAL PAD
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerLS PRO SYSTEMS
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-07-17

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