Brand Name | HARMONY XL |
Type of Device | POWERED LASER |
Manufacturer (Section D) |
ALMA LASERS, LTD. |
18 haharash street |
north industrial park |
caesarea ha zafon, israel 30798 95 |
IS 3079895 |
|
MDR Report Key | 13386567 |
MDR Text Key | 285950258 |
Report Number | 3004450661-2022-00011 |
Device Sequence Number | 1 |
Product Code |
GEX
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Distributor
|
Reporter Occupation |
Nurse
|
Type of Report
| Initial,Followup |
Report Date |
05/04/2022,05/02/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/28/2022 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Distributor Facility Aware Date | 03/03/2022 |
Event Location |
Outpatient Treatment Facility
|
Date Report to Manufacturer | 05/04/2022 |
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|
Patient Sex | Female |
Patient Race | White |
|
|