FDA Adverse Event
Injury
Summary report: N
COOLSCLUPTING
MDR report key: 14946469
·
Received July 6, 2022
Report
- Report Number
- MW5110720
- Event Type
- Injury
- Date Received
- July 6, 2022
- Date of Event
- March 21, 2021
- Report Date
- July 3, 2022
- Manufacturer
- ABBVIE IRELAND NL B.V. BALLYTIVNAN
- Product Code
- OOK
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- ME, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
GOT PAH (PAH (PARADOXICAL ADIPOSE HYPERPLASIA)) FROM COOLSCLUPTING DEVICE. HAVE TERRIBLE SIDE EFFECTS FROM COOLSCLUPTING. BIG PAINFUL BULDGES ON MY FLANKS AND ABDOMEN. "ALLEGAN/ABBIE". FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1986126 | COOLSCLUPTING | DERMAL COOLING PACK/VACUUM/MASSAGER | OOK | ABBVIE IRELAND NL B.V. BALLYTIVNAN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Female | Required Intervention| O | CALCIUM| LIPITOR 10MG| VIT B-12| VIT D |