SCULPSURE 100-7026-010

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-01 for SCULPSURE 100-7026-010 manufactured by Cynosure.

Event Text Entries

[66607863] The patient reported pain in the treatment area several days after the procedure. The pain has been reported to be at the level of 5/9 at its worst. This pain has persisted in the months afterward. She also reported the presence of nodules in the treatment area which is believed to be due to fat necrosis. This has been confirmed with ultrasound. Is the product compounded: no. Is the product over-the-counter: no. Event abated after use stopped or dose reduced: no. Even reappeared after reintroduction: no.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5067632
MDR Report Key6300065
Date Received2017-02-01
Date of Report2017-02-01
Date of Event2016-08-22
Date Added to Maude2017-02-03
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSCULPSURE
Generic NameSCULPSURE
Product CodePKT
Date Received2017-02-01
Catalog Number100-7026-010
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCYNOSURE
Manufacturer AddressWESTFORD MA 01886 US 01886


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-02-01

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