MAUDE Adverse Event Report: ALMA LASERS LTD ALMA DIODE 1470 SYSTEM

Catalog Number	AADS03021302
Medical Device Problem Code	Insufficient Device Problem Information (3190)
Health Effect - Clinical Code	Burn(s) (1757)
Date of Event	06/22/2025
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
Importer reported that a user facility reported that a patient experienced a burn in the treatment area following the use of the alma diode 1470 system.
Event or Problem Description
Importer reported that a user facility reported that a patient experienced a burn in the treatment area following the use of the alma diode1470 system.

• Brand Name: ALMA DIODE 1470 SYSTEM
• Common Device Name: ALMA DIODE 1470 SYSTEM
• 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: 22853512
• Report Number: 3004167969-2025-00017
• Device Sequence Number: 8403211
• Product Code: GEX
• UDI-Device Identifier: 17290110121300
• UDI-Public: (01)17290110121300(11)200309
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K140005
• 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: Physician
• Type of Report: Initial
• Report Date (Section B): 08/20/2025

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: AADS03021302
• 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: 07/22/2025
• Initial Report FDA Received Date: 08/20/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 03/09/2020
• 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 Age: 50 YR
• Patient Sex: Female