JUVEDERM VOLITE WITH LIDOCAINE 2X1 ML
Report
- Report Number
- 3005113652-2025-00906
- Event Type
- Injury
- Date Received
- October 15, 2025
- Date of Event
- September 26, 2017
- Report Date
- October 14, 2025
- Manufacturer
- PRINGY
- Product Code
- LMH
- PMA / PMN Number
- P110033
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
CLARIFICATION TO H.6. TYPE OF INVESTIGATION CODE: THE FILLER WAS INJECTED INTO THE PATIENT AND IS NOT ACCESSIBLE FOR RETURN. THE SYRINGE WAS NOT RETURNED FOR EVALUATION. FURTHER INFORMATION REGARDING EVENT, PRODUCT, OR PATIENT DETAILS HAS BEEN REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. THE EVENT IS A PHYSIOLOGICAL COMPLICATION AND ANALYSIS OF THE DEVICE GENERALLY DOES NOT ASSIST ALLERGAN IN DETERMINING A PROBABLE CAUSE FOR THIS EVENT. A REVIEW OF THE DEVICE HISTORY RECORD HAS BEEN INITIATED. IF ANY NEW, CHANGED OR CORRECTED INFORMATION IS NOTED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED. THIS IS A KNOWN POTENTIAL ADVERSE EVENT ADDRESSED IN THE PRODUCT LABELING.
HEALTHCARE PROFESSIONAL REPORTED INJECTING A PATIENT WITH JUVÉDERM® VOLIFT¿ WITH LIDOCAINE. PATIENT EXPERIENCED SWELLING A FEW WEEKS POST INJECTION AND WAS TREATED WITH HYALURONIDASE. 5 YEARS LATER, PATIENT WAS INJECTED AGAIN WITH 0.5ML IN EACH TEAR TROUGH WITH JUVÉDERM® VOLITE¿. PATIENT DEVELOPED TYNDALL AND EDEMA TO TEAR TROUGH AREA BILATERALLY. PATIENT WAS TREATED WITH HYALURONIDASE AND SYMPTOM RESOLVED. HOWEVER, EDEMA/SWELLING/TINDEL EFFECT SEEMS TO REAPPEAR EVERY 3 MONTHS. SYMPTOM IS ONGOING. THIS RECORD IS FOR JUVÉDERM® VOLITE¿. ADDITIONALLY, THE HEALTHCARE PROFESSIONAL REPORTED THAT THE PATIENT WAS INJECTED WITH 0.5ML PER TEAR TROUGH, WITH JUVÉDERM® VOLITE¿ THE PATIENT NOTICED A SIGNIFICANT REDUCTION IN DARKNESS AND DEPRESSION OF TEAR TROUGHS. THERE WAS SWELLING TO UPPER AND LOWER EYELIDS AND TEAR TROUGH. THERE WAS A DIAGNOSTIC TEST PERFORMED OF AN X-RAY SINUS. THE RESULTS WERE THAT THE FACIAL SOFT TISSUE MAY BE SWOLLEN, OTHERWISE UNREMARKABLE. PATIENT WAS TREATED MEDICALLY 6 YEARS AGO WITH HYALURONIDASE BY NEEDLE, FOUR YEARS AND 9 MONTHS LATER A TREATMENT OF HYALURONIDASE BY NEEDLE, APPROXIMATELY TWO MONTHS LATER TREATMENT OF HYALURONIDASE BY NEEDLE, 3 WEEKS LATER PATIENT WAS TREATED AGAIN WITH HYALURONIDASE BY NEEDLE. ONE YEAR LATER THE PATIENT WAS TREATED WITH HYALURONIDASE BY NEEDLE, TWO WEEKS AFTER THAT WAS TREATED WITH HYALURONIDASE BY NEEDLE, 2 MONTHS LATER PATIENT WAS TREATED WITH HYALURONIDASE BY NEEDLE, AND 5 MONTHS LATER THE PATIENT WAS TREATED WITH HYALURONIDASE BY NEEDLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2336923 | JUVEDERM VOLITE WITH LIDOCAINE 2X1 ML | IMPLANT, DERMAL, FOR AESTHETIC USE | LMH | PRINGY | 1000520424 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Female | Required Intervention |