MAUDE Adverse Event Report: ALMA LASERS LTD ALMA HARMONY

Catalog Number	AAHG25102201BR0002
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Burn(s) (1757); Skin Erosion (2075); Blister (4537)
Type of Reportable Event	Serious Injury
Event or Problem Description
The distributor reported the patient experienced a burn post tattoo removal treatment with the alma harmony system.
Additional Manufacturer Narrative
Based on the provided information it appears to be burn / blisters, epidermal erosions, following alma harmony tattoo removal.Follow-up photos were not provided, however long term sequala is not anticipated, therefore we are filing this report in good faith.

• Brand Name: ALMA HARMONY
• Common Device Name: ALMA HARMONY
• Manufacturer (Section D): ALMA LASERS LTD; 18 haharash street; north industrial park; caesarea, 30798 95; IS 3079895
• Manufacturer (Section G): ALMA LASERS, LTD; 18 haharash street; north industrial park; caesarea, 30798 95; IS 3079895
• Manufacturer Contact: odelia zerbiv ; 18 haharash street; north industrial park; caesarea, 30798-95 ; IS 3079895
• MDR Report Key: 21372267
• Report Number: 3004167969-2025-00003
• Device Sequence Number: 17086900
• Product Code: GEX
• UDI-Device Identifier: 07290110123369
• UDI-Public: (01)07290110123369(11)240718
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K233024
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Distributor
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 02/12/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Catalogue Number: AAHG25102201BR0002
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 01/14/2025
• Initial Report FDA Received Date: 02/13/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 07/18/2024
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown