MAUDE MDR 8538173

MDR report key
8538173
Report number
2954354-2019-00001
Event key
0
Event type
3
Date of event
2019-03-21
Date received
2019-04-22
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MRS RENEE LIERLY
Address
3240 BAYSHORE BLVD BRISBANE CA 94005 US
Phone
415-415-4156
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1TRUSCULPT IDMASSAGER, VACUUM, RADIO FREQUENCY INDUCED HEATCUTERA, INCPBXTRUSCULPT IDY R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-04-2201. O

Event Narratives#

N

Patient 1

THE DEVICE OPERATOR REPORT "ERROR CODES" DURING THE PROCEDURE. THE HANDPIECE HAS RETURNED TO THE MANUFACTURER FOR COMPRESSIVE TESTING. A FOLLOW UP REPORT WILL SUBMITTED AFTER THE ANALYSIS IS COMPLETE.

D

Patient 1

2 LINEAR BLISTERS ON THE TREATMENT AREA (ABDOMEN). THE HANDPIECE ASSOCIATED WITH THE TREATMENT HAS BEEN RETURNED TO CUTERA FOR COMPREHENSIVE TESTING.