| Brand Name | Xtrallux |
| Common Device Name | Hair Regrowth Cap - Photobiomodulating Device |
| Manufacturer (Section D) |
| Xtrallux, LLC |
| 7260 nw 58 street |
| miami FL 33166 |
|
| Manufacturer (Section G) |
| Xtrallux, LLC |
| 7260 nw 58 street |
|
| miami FL 33166 |
|
| Manufacturer Contact |
|
frances
pina-brea
|
| 7260 nw 58 street |
| miami, FL 33166
|
|
| MDR Report Key | 50794648 |
| Report Number | 3025432379-2026-00004 |
| Device Sequence Number | 10515984 |
| Product Code |
OAP
|
| UDI-Device Identifier | 00860007783449 |
| UDI-Public | (01)00860007783449 |
| Combination Product (Y/N) | N |
| Initial Reporter State | KY |
| Initial Reporter Country | US |
| PMA/510(K) Number | K222364 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Consumer |
| Type of Report
| Initial |
| Report Date (Section B) |
09/16/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Lay User/Patient
|
| Device Model Number | Xtrallux Extreme Rx |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 09/02/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/17/2026 |
| Initial Report FDA Received Date | 09/16/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/15/2023 |
| 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 |
| Patient Sex | Female |
|
|