MAUDE Adverse Event Report: CYNOSURE LUTRONIC TECHNOLOGY CORPORATION CLARITY II

Catalog Number	1110200210
Medical Device Problem Code	Appropriate Device Problem Term/Code Not Available (3191)
Health Effect - Clinical Code	Full thickness (Third Degree) Burn (2696)
Date of Event	04/16/2026
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
The cynosure lutronic clinical team followed up with the treatment clinic for additional information.Images were provided and reviewed by cynosure lutronic medical director.The cynosure lutronic medical director recognized a full thickness burn on the mid cheek with loss of epidermis, dermis and subcutaneous tissues.He stated that a scar is inevitable, and it cannot be prevented.He also recommended that the wound needs to be cleaned daily and managed closely for appropriate care and the patient to be evaluated by a burn specialist or a dermatologist.A trained cynosure lutronic field service engineer paid a visit to the treatment facility for a device evaluation.During this time the device was fully inspected, and there was no apparent damage to the device but there were a couple parts that were dirty but they were cleaned.The device was also subjected to a full device evaluation including full functionality testing with passing results.The energy levels and settings were checked and verified to be working within its specifications.At this time, the exact root cause of the event remains undetermined.While the treatment parameters were largely within recommended ranges, factors including the absence of test spots and deviation in handpiece size were identified; however, a definitive causal relationship cannot be established.This event is reportable under fda medical device reporting requirements (21 cfr part 803), as the reported injury involved a serious injury requiring medical intervention with likely permanent impairment due to scarring.
Event or Problem Description
It was reported that the patient experienced burn on the face after undergoing facial treatments with the clarity ii device.The patient was evaluated by a physician, diagnosed with a facial burn, and prescribed a topical antibiotic as preventative therapy.

• Brand Name: CLARITY II
• Common Device Name: CLARITY II
• Manufacturer (Section D): CYNOSURE LUTRONIC TECHNOLOGY CORPORATION; 219 sowon-ro; deogyang-gu, goyang-si 10534 ; KS 10534
• Manufacturer (Section G): CYNOSURE LUTRONIC TECHNOLOGY CORPORATION; 219 sowon-ro; deogyang-gu, goyang-si 10534 ; KS 10534
• Manufacturer Contact: nirav desai ; 5 carlisle road; westford, MA 01886
• MDR Report Key: 25280393
• Report Number: 3021199089-2026-00035
• Device Sequence Number: 13202969
• Product Code: GEX
• UDI-Device Identifier: 08800291820040
• UDI-Public: (01)08800291820040(11)250912
• Combination Product (Y/N): N
• Initial Reporter Country: CA
• PMA/510(K) Number: K183566
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Consumer,User Facility
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 05/26/2026

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: Other
• Device Catalogue Number: 1110200210
• Was Device Available for Evaluation?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 04/22/2026
• Initial Report FDA Received Date: 05/26/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 09/12/2025
• 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
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Sex: Female