BEUDAMED
    FDA Adverse Event Other Summary report: N

    RADIANCE FN

    MDR report key: 495799 · Received November 12, 2003

    Report

    Report Number
    2135225-2003-00005
    Event Type
    Other
    Date Received
    November 12, 2003
    Report Date
    November 11, 2003
    Manufacturer
    BIOFORM, INC.
    Product Code
    LMH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    PATIENT REPORTS NUMBNESS FROM BENEATH PAROTID GLAND TO BENEATH CHIN, BOTH SIDES OF FACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RADIANCE FN INJECTABLE IMPLANT LMH BIOFORM, INC. 8027-3 C1202124

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other