FDA Adverse Event Other Summary report: N

RESTYLANE INJECTABLE GEL

MDR report key: 2913625 · Received January 8, 2013

Report

Report Number
2032896-2012-00038
Event Type
Other
Date Received
January 8, 2013
Report Date
December 31, 2012
Manufacturer
Q-MED AB
Product Code
LMH
PMA / PMN Number
P020023
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
10399 RESTYLANE INJECTABLE GEL INJECTABLE DERMAL FILLER LMH Q-MED AB

Patients

Seq Age Sex Outcome Treatment
1 26 YR Other