inforMED
InjuryILY

PLATINUM 4 MEDICAL LASER

Received Jun 11, 2025 · Event occurred May 9, 2025

Report 3006120071-2025-00001 · MDR key 22190745

Device

Generic name

P4

Model number

P4

Catalog number

P4

Lot number

N/A

Product problems

  • Device Handling Problem
  • Device Handling Problem

Patient

NA · Unknown

  • Superficial (First Degree) Burn
  • Superficial (First Degree) Burn

Narrative

Additional Manufacturer Narrative

COMPLAINT (B)(4). DOCTOR CLAIMS THAT THE BURN OCCURED ON HIS ARM DUE TO A BROKEN FIBER ASSEMBLY - THE FIBER ASSEMBLY WAS NOT RECEIVED FOR INVESTIGATION - HOWEVER THE LASER DEVICE WAS RETURNED AND THIS WAS EVALUATED. IT WAS CONCLUDED THAT THERE WAS DUST IN THE MODULE AND THIS CAUSED THE MODULE TO HAVE NO OUTPUT AND WAS BURN. THE FIBER ASSEMBLY WAS BURNED AND UPON INSPECTION OF THE MODULE IT WAS BURNT, THIS IS SEEN WHEN THERE IS DUST IN THE BEAM PATH THE DUST CAN COMBUST AND CAUSE BURNING OF THE FIBER ASSEMBLY, WHEN THE FIBER ASSEMBLY IS REMOVED DUST IS ALLOWED TO ENTER THE MODULE AND WHEN THE FIBER ASSEMBLY IS ATTACHED BACK TO THE DEVICE THE DUST WILL HEAT UP AND COMBUST CAUSING THE FIBER ASSEMBLY TO BURN AND NO LONGER FUNCTION. THE DOCTOR DID NOT RETURN THE BROKEN FIBER ASSEMBLY AND NO PHOTOS WERE PROVIDED OF THE BURN. FOLLOW UP WITH THE DOCTOR WAS PERFORMED AND HE STATED HE WAS HEALING WITHOUT ADDITIONAL MEDICAL INTERVENTION. THE INJURY CAN NOT BE CONFIRMED BUT THE FIBER ASSEMBLY WOULD HAVE BROKEN DUE TO DUST IN THE MODULE - THE OWNER MANUAL STATES NOT TO REMOVE THE FIBER ASSEMBLY IN ORDER TO AVOID DUST BUILD UP.

Description of Event or Problem

USER (DOCTOR) WAS BURNED BY BROKEN FIBER ASSEMBLY, FIBER ASSEMBLY BROKE AT THE BASE OF TEH HAND PIECE AND BURNED DOCTOR.