VASERLIPO SYSTEM 110-0032

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-09-09 for VASERLIPO SYSTEM 110-0032 manufactured by Solta Medical.

MAUDE Entry Details

Report Number3011423170-2019-00088
MDR Report Key8976063
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2019-09-09
Date of Report2019-08-15
Date of Event2019-08-15
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2019-08-15
Date Added to Maude2019-09-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactMS. JULI MOORE
Manufacturer Street3365 TREE COURT INDUSTRIAL BLV
Manufacturer CityST. LOUIS MO 63122
Manufacturer CountryUS
Manufacturer Postal63122
Manufacturer Phone6362263220
Manufacturer G1SOLTA MEDICAL
Manufacturer Street11720 N CREEK PARKWAY N STE 100
Manufacturer CityBOTHELL WA 98011
Manufacturer CountryUS
Manufacturer Postal Code98011
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVASERLIPO SYSTEM
Generic NameSYSTEM, SUCTION, LIPOPLASTY
Product CodeMUU
Date Received2019-09-09
Model Number110-0032
Catalog Number110-0032
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSOLTA MEDICAL
Manufacturer AddressBOTHELL WA 98011 US 98011


Patients

Patient NumberTreatmentOutcomeDate
10 2019-09-09

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