FDA Adverse Event Injury Summary report: N

UNKNOWN COOLSCULPTING SYSTEM

MDR report key: 12155649 · Received July 12, 2021

Report

Report Number
3007215625-2021-01442
Event Type
Injury
Date Received
July 12, 2021
Date of Event
May 21, 2021
Report Date
June 27, 2024
Manufacturer
ALLERGAN PLEASANTON
Product Code
OOK
PMA / PMN Number
-
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H11-: CORRECTED DATA: SUBSEQUENT TO THE SUBMISSION OF INITIAL MEDWATCH, THIS REPORT HAS BEEN IDENTIFIED AS A DUPLICATE OF PREVIOUSLY SUBMITTED MEDWATCH REPORT OF 3007215625-2021-01426-00.

Additional Manufacturer Narrative · 0

CORRECTION: B5, D1, D4, G1, G3, AND G6. H11: CORRECTED DATA: SUBSEQUENT TO THE SUBMISSION OF INITIAL MEDWATCH, THIS REPORT HAS BEEN IDENTIFIED AS A DUPLICATE OF PREVIOUSLY SUBMITTED MEDWATCH REPORT OF 3007215625-2021-01426-00.

Description of Event or Problem · 0

A TREATMENT PROVIDER REPORTED THEY HAVE A PATIENT WHO HAD MULTIPLE COOLSCULPTING TREATMENTS AND PRESENTED WITH PARADOXICAL HYPERPLASIA.

Description of Event or Problem · 0

SUBSEQUENT TO THE SUBMISSION OF INITIAL MEDWATCH, THIS REPORT HAS BEEN IDENTIFIED AS A DUPLICATE OF PREVIOUSLY SUBMITTED MEDWATCH REPORT OF 3007215625-2021-01426-00.

Additional Manufacturer Narrative · 1

THE FOLLOWING INFORMATION IS IN THE COOLSCULPTING USER MANUAL: PARADOXICAL HYPERPLASIA IS CHARACTERIZED BY A VISIBLY ENLARGED TISSUE VOLUME WITHIN THE TREATMENT AREA, WHICH MAY DEVELOP TWO TO FIVE MONTHS AFTER TREATMENT. SURGICAL INTERVENTION MAY BE REQUIRED. INVESTIGATION IS ONGOING.

Description of Event or Problem · 1

ALLERGAN RECEIVED A REPORT OF A PATIENT WHO RECEIVED MULTIPLE COOLSCULPTING TREATMENTS AND THE AREAS TREATED ARE APPEARING LARGER AND THE DENSITY AND FEEL OF THE FAT SEEMS TO HAVE CHANGED WHEN BEING PALPATED. POSSIBLE PARADOXICAL HYPERPLASIA HAS BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1051552 UNKNOWN COOLSCULPTING SYSTEM DERMAL COOLING PACK/VACUUM/MASSAGER OOK ALLERGAN PLEASANTON NI

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention