inforMED
InjuryONF

LUMECCA

Received Apr 24, 2025 · Event occurred Mar 19, 2025

Report 3010511300-2025-00812 · MDR key 21897600

Device

Generic name

Onf

Manufacturer

Inmode Ltd.

Model number

AS601863A

Catalog number

AS601863A

Product problems

  • Use of Device Problem
  • Use of Device Problem

Patient

NA · Female

  • Scar Tissue
  • Scar Tissue

Narrative

Additional Manufacturer Narrative

FEMALE PATIENT TREATED WITH LUMECCA ON HER NOSE BRIDGE AND DÉCOLLETÉ, PRESENTING WITH SCARRING DUE TO SECOND DEGREE BURNS. INVESTIGATION CONCLUDED THAT THE ADVERSE EVENT WAS CAUSED BY USER ERRORS: THE OPERATOR USED AN EXCESSIVE FLUENCE ON BONY AREAS, EXCEEDING THE RECOMMENDATIONS OF INMODE. THIS, COMBINED WITH THE SHORT WAVELENGTH CHOSEN BY THE OPERATOR, LED TO THE THERMAL DAMAGE. FURTHER, BAD HEALING, TYPICAL OF SUCH BONY AREAS, LED TO THE FORMATION OF THE SCAR TISSUE. THE CLINIC HAS BEEN RETRAINED.

Description of Event or Problem

SCARRING ON NOSE AND DÉCOLLETÉ FOLLOWING LUMECCA TREATMENT.

Remedial action

  • Notification
  • Other
  • Patient Monitoring