FDA Adverse Event
Injury
Summary report: N
COOLSCULPTING
MDR report key: 12662563
·
Received October 18, 2021
Report
- Report Number
- MW5104743
- Event Type
- Injury
- Date Received
- October 18, 2021
- Date of Event
- June 28, 2018
- Report Date
- October 15, 2021
- Manufacturer
- ZELTIQ AESTHETICS INC
- Product Code
- OOK
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
IN (B)(6) 2018, I HAD COOLSCULPTING AT (B)(6) SPA IN (B)(6) TO TREAT FAT UNDER MY CHIN. AFTERWARDS, THE FAT INCREASED AND BECAME FIBROUS AND I AM BEING DIAGNOSED WITH PARADOXICAL ADIPOSE HYPERPLASIA (PAH), WHICH I HAVE LEARNED IS AN ADVERSE EFFECT OF THE COOLSCULPTING AND MUCH MORE COMMON THAT PREVIOUSLY THOUGHT OR DISCLOSED. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1550179 | COOLSCULPTING | DERMAL COOLING PACK/VACUUM/MASSAGER | OOK | ZELTIQ AESTHETICS INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Other |