BEUDAMED
    FDA Adverse Event Other Summary report: N

    RESTYLANE INJECTABLE GEL

    MDR report key: 2913611 · Received January 8, 2013

    Report

    Report Number
    2032896-2012-00040
    Event Type
    Other
    Date Received
    January 8, 2013
    Report Date
    December 31, 2012
    Manufacturer
    Q-MED AB
    Product Code
    LMH
    PMA / PMN Number
    P020023/P040
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    10317 RESTYLANE INJECTABLE GEL INJECTABLE DERMAL FILLER LMH Q-MED AB

    Patients

    Seq Age Sex Outcome Treatment
    1 26 YR Other