FDA Adverse Event Other Summary report: N

RADIESSE DERMAL FILLER

MDR report key: 2020348 · Received March 11, 2011

Report

Report Number
2135225-2011-00017
Event Type
Other
Date Received
March 11, 2011
Date of Event
December 1, 2010
Report Date
February 14, 2011
Manufacturer
MERZ AESTHETICS, INC.
Product Code
LMH
PMA / PMN Number
P050052
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE PT WHO REPORTED THE EVENT HAS NOT RESPONDED TO FURTHER CONTACT.

Description of Event or Problem · 1

THE PT WAS INJECTED WITH RADIESSE IN MID (B)(6). THE PT STATED THAT THE BRUISES WERE GONE TWO WEEKS AFTER INJECTION. THE PT HAS BRIGHT PINK SPOTS IN THE TREATED AREAS (UNDER EYES - DARK CIRCLES AREA). AFTER TWO MONTHS, THE PINK SPOTS DON'T SEEM TO FADE AWAY. THE PT STATED THAT SHE WAS PRESCRIBED BIAFINE AND ANTIBIOTICS (ANTIBIOTIC NAME, DATE PRESCRIBED, DOSE AND DURATION NOT PROVIDED). THE PT STATED THAT SHE HAD NO RESULTS FROM THE PRESCRIPTIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RADIESSE DERMAL FILLER RADIESSE INJECTABLE IMPLANT LMH MERZ AESTHETICS, INC. UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other