FDA Adverse Event
Injury
Summary report: N
COOL SCULPTING SYSTEM
MDR report key: 6085265
·
Received November 7, 2016
Report
- Report Number
- MW5065863
- Event Type
- Injury
- Date Received
- November 7, 2016
- Date of Event
- May 15, 2016
- Report Date
- November 7, 2016
- Manufacturer
- ZELTIQ AESTHETICS INC.
- Product Code
- OOK
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
REPORTER CALLED FROM (B)(6) AND STATED THAT SHE HAD A FAT REDUCTION PROCEDURE DONE AROUND HER WAIST AREA IN (B)(6) 2016. THIS PROCEDURE WAS SUPPOSE TO MAKE THE AREA REDUCE BY TWENTY TO TWENTY FIVE PERCENT BUT INSTEAD, IT HAS INCREASED BY TWENTY FIVE PERCENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 733256 | COOL SCULPTING SYSTEM | DERMAL COOLING PACK/VACUUM/MASSAGER | OOK | ZELTIQ AESTHETICS INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR |