RADIESSE DERMAL FILLER
Report
- Report Number
- 2135225-2015-00062
- Event Type
- Injury
- Date Received
- September 23, 2015
- Date of Event
- August 17, 2015
- Report Date
- August 25, 2015
- Manufacturer
- MERZ NORTH AMERICA, INC
- Product Code
- LMH
- PMA / PMN Number
- P050052
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PHYSICIAN
Narratives
(B)(4). THE PATIENT'S INJECTION SITE HAS RECOVERED. THERE IS SOME MINOR REDNESS THAT COULD BE REDUCED WITH LASER TREATMENTS. THE DEVICE HISTORY RECORD FOR THE INJECTED RADIESSE LOT WAS NOT REVIEWED AS THE LOT NUMBER WAS UNKNOWN. DEVICE NOT RETURNED TO THE MANUFACTURER.
A FEMALE PATIENT WAS INJECTED WITH 0.85CC OF RADIESSE TO THE NOSE (NASAL TIP-0.1ML, COLUMELLA-0.3ML, ROOT-0.45 ML) ON (B)(6) 2015. THE PATIENT EXPERIENCED SEVERE SWELLING AFTER THE INJECTION COMPARED WITH PREVIOUS TREATMENT. ON (B)(6) 2015, THE PATIENT WAS STARTED ON ANTIBIOTICS THREE TIMES DAILY PROPHYLACTICALLY BY THE INJECTOR. ON (B)(6) 2015, THE PATIENT WAS GIVEN GENTAMYCIN AND CEPHAMYCIN INTRAVENOUSLY AND ORALLY, ALONG WITH WARM COMPRESSES TO THE AREA. ON (B)(6) 2015, THE PATIENT WENT TO THE (B)(6) FOR WOUND TREATMENT. THE "CHIEF OF HOSPITAL DIAGNOSIS" SUSPECTED PATIENT HAD CELLULITIS AND PATIENT WAS HOSPITALIZED. ON (B)(6) 2015, THE PATIENT BEGAN HAVING HYPERBARIC OXYGEN THERAPY (HBOT) TWICE DAILY. THE PATIENT HAD A TOTAL OF 16 HBOT THROUGH (B)(6) 2015, WHEN SHE WAS DISCHARGED. (B)(6) 2015, THE PATIENT'S NOSE TIP STILL HAS REDNESS & THE PATIENT KEEPS DOING HBOT. ON (B)(6) 2015, THE PATIENT DID NOT GO BACK TO THE HOSPITAL FOR A FINAL EXAMINATION BUT VISITED ANOTHER PHYSICIAN WITH HER PHOTOGRAPHS. THE PHYSICIAN CONSIDERED THAT THE DIAGNOSIS SHOULD BE VASCULAR OCCLUSION, NOT CELLULITIS. THE PATIENT'S INJECTION SITE HAS RECOVERED. THERE IS SOME MINOR REDNESS THAT COULD BE REDUCED WITH LASER TREATMENTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 627768 | RADIESSE DERMAL FILLER | INJECTABLE IMPLANT | LMH | MERZ NORTH AMERICA, INC | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| R |