SAYPHA FILLER LIDOCAINE
Report
- Report Number
- 3002806738-2026-00001
- Event Type
- Injury
- Date Received
- February 19, 2026
- Date of Event
- December 1, 2025
- Report Date
- May 11, 2026
- Manufacturer
- CROMA-PHARMA GMBH
- Product Code
- LMH
- PMA / PMN Number
- P240008
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AU
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
- FILLER WAS INJECTED AND IS NOT ACCESSIBLE FOR RETURN. - OFF-LABEL USE INTO CHEEK; DEVICE IS INDICATED TO CORRECT MODERATE TO SEVERE NASOLABIAL FOLDS AND FOR LIP AUGMENTATION. - NO HOSPITALIZATION OR SURGICAL INTERVENTION HAS BEEN REPORTED. PATIENT NOT RECOVERED TO DATE. SINCE UNKNOWN OUTCOME = F12. - FURTHER INFORMATION REGARDING EVENT, PRODUCT, OR PATIENT DETAILS HAS BEEN REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE TO DATE OF THIS REPORT.
HEALTHCARE PROFESSIONAL REPORTED A PATIENT RECEIVED TREATMENT WITH SAYPHA FILLER LIDOCAINE IN THE CHEEK AREA IN (B)(6) 2024. FROM (B)(6) 2025 THE PATIENT UNDERWENT DENTAL TREATMENT WITH EXTRACTION OF 3 TEETH, ANTIBIOTICS ADMINISTERED CONTINUOUSLY, TREATMENT WAS COMPLETED IN NOVEMBER. FROM (B)(6) 2025 PATIENT NOTICED 2 LUMPS, ENT ORDERED MRI - GRANULOMAS WERE FOUND HERE, 5 DAYS ADMINISTRATION OF CLAVEMOS. ADDITIONAL INFORMATION PROVIDED BY THE HEALTHCARE PROFESSIONAL STATE THAT THE INITIAL TREATMENT WAS CONDUCTED IN (B)(6) 2024. BOTH SIDES WERE TREATED. GRANULOMAE PRESENT ON BOTH SIDES (19 AND 13 MM, RESPECTIVELY) ACCORDING TO MRI. TWELVE DAY PENICILLIN TREATMENT DID NOT SHOW ANY EFFECT. SURGICAL INTERVENTION MAY BE INDICATED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 311488 | SAYPHA FILLER LIDOCAINE | IMPLANT, DERMAL, FOR AESTHETIC USE | LMH | CROMA-PHARMA GMBH | 36957 | 905013 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR | Female | Other |