FDA Adverse Event Injury Summary report: N

SAYPHA FILLER LIDOCAINE

MDR report key: 24387283 · Received February 19, 2026

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

Additional Manufacturer Narrative · 0

- 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.

Description of Event or Problem · 0

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