BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIPOZAP

    MDR report key: 1861383 · Received September 8, 2010

    Report

    Report Number
    MW5017682
    Event Type
    Injury
    Date Received
    September 8, 2010
    Date of Event
    April 2, 2008
    Report Date
    September 8, 2010
    Manufacturer
    MEDAESTHETICA
    Product Code
    MUU
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SINCE ENDING OF LIPOZAP SERVICES THROUGH MEDAESTHETICA, I HAVE HAD LUMPY SKIN DEFORMATION AND KNOTS ON AREAS THAT WERE TREATED. DAMAGE IS STILL PRESENT TO THIS DAY. DATES OF USE: (B)(6)2007-(B)(6)2008. DIAGNOSIS OR REASON FOR USE: LIPOZAP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIPOZAP LIPOZAP MUU MEDAESTHETICA NOT AVAILABLE

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Required Intervention