ULTHERAPY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-06-28 for ULTHERAPY manufactured by Ulthera Inc..

Event Text Entries

[79024447] I had ultherapy performed one time 5-6 years ago on my neck and lower face, and noticed after about a year skin of my neck started looking crepey, thin and with uneven muscle tone. Very disappointing and wish i had never done it. Had it performed at (b)(6) in (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5070722
MDR Report Key6680339
Date Received2017-06-28
Date of Report2017-06-28
Date of Event2013-06-01
Date Added to Maude2017-06-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameULTHERAPY
Generic NameULTHERA SYSTEM
Product CodeOHV
Date Received2017-06-28
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerULTHERA INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-06-28

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