NEUTROGENA LIGHT THERAPY ACNE SPOT TREATMENT 70501101315

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 2019-03-19 for NEUTROGENA LIGHT THERAPY ACNE SPOT TREATMENT 70501101315 manufactured by Johnson & Johnson Consumer Inc.

Event Text Entries

[139824623] Device was used for treatment, not diagnosis. Patient age, weight, ethnicity and race was not provided for reporting. This report is for one (1) ntg light therapy acne spot treatment usa 70501101315. Lot # is not available. Udi # (b)(4), upc: (b)(4), expiration date= ni, lot number = ni. Device is not expected to be returned for manufacturer review/investigation. Device evaluation could not be completed; no conclusion could be drawn as product was not returned to manufacturer. Device history records review could not be completed without lot number. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


[139824624] A female consumer reported an event with the ntg light therapy acne spot treatment usa. The consumer was using the ntg light therapy acne spot treatment for a small pimple on her face. The consumer has alleged that the ntg light therapy acne spot treatment started to smell and spark. Consumer alleged burn to face and middle finger on her right hand. Consumer stated that her face and finger blistered and a week after the event she still had marks on both her face and finger. Consumer received medical attention while at her place of employment, an emergency room (er). Consumer was told to keep applying an unknown antibiotic cream to prevent infection and that it will take time to heal the burn and broken skin.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2214133-2019-00065
MDR Report Key8433696
Report SourceCONSUMER
Date Received2019-03-19
Date of Report2019-02-23
Date Mfgr Received2019-02-23
Date Added to Maude2019-03-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactLINDA PLEWS
Manufacturer Street199 GRANDVIEW RD
Manufacturer CitySKILLMAN NJ 085589418
Manufacturer CountryUS
Manufacturer Postal085589418
Manufacturer Phone2152737120
Manufacturer G1KINSENG PLASTICS CO. LTD.
Manufacturer StreetPINBEI INDUSTRIAL AREA
Manufacturer CitySHANTOU CITY
Manufacturer CountryCH
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNEUTROGENA LIGHT THERAPY ACNE SPOT TREATMENT
Generic NameOTC POWERED LIGHT BASED LASER FOR ACNE
Product CodeOLP
Date Received2019-03-19
Model Number70501101315
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON & JOHNSON CONSUMER INC
Manufacturer Address199 GRANDVIEW RD SKILLMAN NJ 085589418 US 085589418


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-19

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