FDA Adverse Event
Injury
Summary report: N
COOLSCULPTING SYSTEM
MDR report key: 14104970
·
Received April 12, 2022
Report
- Report Number
- MW5108950
- Event Type
- Injury
- Date Received
- April 12, 2022
- Date of Event
- June 6, 2019
- Report Date
- April 10, 2022
- Manufacturer
- ZELTIQ AESTHETICS, INC.
- Product Code
- OOK
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NJ, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
I HAD A ZELTIQ COOLSCULPTING TREATMENT FROM THE BODYCOUTURE GROUP LLP D/B/A BELOW BODY BAR ON MY ARMS AND MY BACK. THE TREATMENTS CAUSED PAH, FAT DEPOSITS ON THE TREATMENT AREA. MY ARMS AND BACK ARE NOW DISFIGURED. CRYOLIPOLYSIS IS USED TO "FREEZE" FAT--A LIE. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 786906 | COOLSCULPTING SYSTEM | DERMAL COOLING PACK/VACUUM/MASSAGER | OOK | ZELTIQ AESTHETICS, INC. | K151179 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Female | VITAMIN D |