FDA Adverse Event
Injury
Summary report: N
COOLSCULPTING
MDR report key: 15265776
·
Received August 19, 2022
Report
- Report Number
- MW5111621
- Event Type
- Injury
- Date Received
- August 19, 2022
- Date of Event
- January 5, 2022
- Report Date
- August 18, 2022
- Manufacturer
- ALLERGAN/ ABBVIE IRELAND NL B.V. BALLYTIVNAN
- Product Code
- OOK
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
PARADOXAL ADIPOSE HYPERPLASIA (PAH) FROM COOLSCULPTING. FDA SAFETY REPORT ID #(B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 381501 | COOLSCULPTING | DERMAL COOLING PACK/VACUUM/MASSAGER | OOK | ALLERGAN/ ABBVIE IRELAND NL B.V. BALLYTIVNAN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Female | Other | CURRENT PRESCRIPTION MEDICATIONS: LEXAPRO. |