NONE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2012-04-09 for NONE manufactured by .

Event Text Entries

[2639751] The following email was received from (b)(6) on (b)(6) 2011 and forwarded for documentation and f/u on (b)(4) 2011. "i have a question about using bionect off-label. I used to inject into a deep fold in my chin area. I normally have restylane put there. I used a small gauge needle like one that would be used with restylane. It did fill in the fold and looks very normal. Have i done any permanent damage since this is supposed to be a topical only drug? I am afraid to ask my dermatologist because i know that they just want to sell me another round of fillers, restylane, juverderm, etc... At a time that i cannot afford it. The last time the restylane did not even last nine months. Thank you for your assistance. " an email was sent to the consumer requesting that she contact our 24/7 drug safety call center for further info. We have not heard from the consumer.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005536974-2012-00001
MDR Report Key2586463
Report Source04
Date Received2012-04-09
Date of Report2011-12-20
Date Mfgr Received2011-12-20
Date Added to Maude2012-05-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactART WAITE
Manufacturer Street171 CHURCH ST SUITE 140
Manufacturer CityCHARLESTON SC 29401
Manufacturer CountryUS
Manufacturer Postal29401
Manufacturer Phone8439658333
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameNONE
Product CodeMGQ
Date Received2012-04-09
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2012-04-09

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