ULTHERAPY; AKA ULTHERA SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-15 for ULTHERAPY; AKA ULTHERA SYSTEM manufactured by Ulthera, Inc..

MAUDE Entry Details

Report NumberMW5088119
MDR Report Key8793245
Date Received2019-07-15
Date of Report2019-06-11
Date of Event2016-11-02
Date Added to Maude2019-07-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationATTORNEY
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; AKA ULTHERA SYSTEM
Generic NameFOCUSED ULTRASOUND FOR TISSUE HEAT OR MECHANICAL CELLULAR DISRUPTION
Product CodeOHV
Date Received2019-07-15
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerULTHERA, INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2019-07-15

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