| Model Number |
AG605988A |
| Medical Device Problem Code |
Use of Device Problem (1670)
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| Health Effect - Clinical Codes |
Necrosis (1971); Full thickness (Third Degree) Burn (2696)
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| Date of Event |
02/21/2025
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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Full thickness burns with necrosis on posterior leg and thigh following treatment with vasculaze.
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Additional Manufacturer Narrative
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No technical inspection of the device was performed, as the customer confirmed the device works with no issues.The customer disclosed that the treatment was done by a previous employee that is no longer employed at their clinic.Investigation attributed the root cause to an incorrcet technique: it seems the operator fired without full contact on the same spot several times, leading to full thickness burns.Patient's compromised circulatory efficiency most probably further contributed to a delayed healing and the observed necrosis.Nevertheless, the lesions are dry, not infected and gradual re-epithelialization is seen.A retraining has been scheduled for this clinic.
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Additional Manufacturer Narrative
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No technical inspection of the device was performed, as the customer confirmed the device works with no issues.The customer disclosed that the treatment was done by a previous employee that is no longer employed at their clinic.Investigation attributed the root cause to an incorrect technique: it seems the operator fired without full contact on the same spot several times, leading to full thickness burns.Patient's compromised circulatory efficiency most probably further contributed to a delayed healing and the observed necrosis.Nevertheless, the lesions are dry, not infected and gradual re-epithelialization is seen.A retraining has been scheduled for this clinic.On 24-nov-2025: follow-up report is submitted with additional information.B7 - typo was corrected.Despite several attempts to schedule a retraining for the clinic, they became non responsive.For the same reason, inmode could not obtain any updated information regarding patient's healing.
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Event or Problem Description
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Full thickness burns with necrosis on posterior leg and thigh following treatment with vasculaze.
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Search Alerts/Recalls
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