Patient underwent vaser liposuction followed by subdermal coagulation with renuvion to the submental area.One pass with renuvion was performed at generator settings of 80% power and 1.5 liters of flow.Speed, spacing, infiltration solution and amount, treatment plane depths, and aspiration amount was requested but noted as unknown by the surgeon's office.Patient wore a garment post procedure and followed after care instructions per her surgeon's protocol.However, three days post procedure, a burn to the treated area was noticed.The degree of burn was not confirmed by the surgeon.Multiple steroid injections of kenalog were administered by the surgeon to the affected area on (b)(6) 2022.Additionally, micro-needling was performed on (b)(6) 2022 in effort to treat the burn.Although the surgeon noted that the patient was healing, the patient has a visible scar post procedure and treatments as a result of the burn.The cause of the burn is due to end hits.The end hits may have been caused by the apyx medical device or the vaser device or a combination of both during the procedure.End hits are not a recommended technique per the apyx medical technique considerations which are disclosed during customer training.As it is unknown if the end hits were caused or contributed by the vaser device or by the apyx medical device, this event is deemed reportable as a use error.
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