FDA Adverse Event Injury Summary report: N

COOLSCULPTING SYSTEM

MDR report key: 17484346 · Received August 8, 2023

Report

Report Number
3007215625-2023-12028
Event Type
Injury
Date Received
August 8, 2023
Report Date
November 16, 2023
Manufacturer
ALLERGAN (PLEASANTON)
Product Code
OOK
UDI-DI
00816417020001
PMA / PMN Number
K160259
Removal / Correction Number
Z-1347-2022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THIS IS A HISTORICAL RECORD AND REFLECTS REPORTS THAT WERE RECEIVED BY THE COMPANY PRIOR TO APRIL 2021. THIS MDR IS ASSOCIATED WITH A PARALLEL PLATE APPLICATOR, THESE APPLICATORS WERE DISCONTINUED AND RECALLED IN 2022. ACCORDING TO THE COOLSCULPTING USER MANUAL, UNDER RARE ADVERSE EVENTS, PARADOXICAL ADIPOSE HYPERPLASIA (PH/PAH) 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. PAH IS NOT RELATED TO ANY COOLSCULPTING DEVICE FAILURE MODE BUT IT IS OBSERVED MORE FREQUENTLY WITH THE PARALLEL PLATE APPLICATORS. PAH IS INCLUDED IN THE RISK MANAGEMENT FILES OF THE DEVICE AS AN INHERENT RISK TO THE USE OF CRYOLIPOLYSIS FOR LOCALIZED FAT REDUCTION.

Additional Manufacturer Narrative · 0

CORRECTED DATA D1 - BRAND NAME.

Description of Event or Problem · 0

ALLERGAN AESTHETICS RECEIVED A REPORT OF A MALE PATIENT TREATED WITHCOOLSCULPTING TO THE BILATERAL UPPER AND LOWER ABDOMEN ON (B)(6) 2016 USING COOLCORE APPLICATOR WHO WAS DIAGNOSED WITH PARADOXICAL HYPERPLASIA (PAH/PH) ON (B)(6) 2017 TO THE UPPER AND LOWER ABDOMEN. PAH WAS DESCRIBED AS ENLARGED, DISTORTED, AND FIRM. ON AN UNKNOWN DATE IN (B)(6) 2017 THE PATIENT RECEIVED LIPOSUCTION TO RESOLVE PAH BUT THE FAT CELLS GREW BACK. THE PATIENT WAS ASSESSED WITH PAH PROGRESSION TO THE UPPER AND LOWER ABDOMEN.

Description of Event or Problem · 0

ALLERGAN AESTHETICS RECEIVED A REPORT OF A MALE PATIENT TREATED WITHCOOLSCULPTING TO THE BILATERAL UPPER AND LOWER ABDOMEN ON (B)(6) 2016 USING COOLCORE APPLICATOR WHO WAS DIAGNOSED WITH PARADOXICAL HYPERPLASIA (PAH/PH) ON (B)(6) 2017 TO THE UPPER AND LOWER ABDOMEN. PAH WAS DESCRIBED AS ENLARGED, DISTORTED, AND FIRM. ON AN UNKNOWN DATE IN (B)(6) 2017 THE PATIENT RECEIVED LIPOSUCTION TO RESOLVE PAH BUT THE FAT CELLS GREW BACK. THE PATIENT WAS ASSESSED WITH PAH PROGRESSION TO THE UPPER AND LOWER ABDOMEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1338060 COOLSCULPTING SYSTEM DERMAL COOLING PACK/VACUUM/MASSAGER OOK ALLERGAN (PLEASANTON) NI 00816417020001

Patients

Seq Age Sex Outcome Treatment
1 33 YR Male Required Intervention (B)(6)