FDA.reportPublic FDA data

MAUDE MDR 9186106

MDR report key
9186106
Report number
2024601-2019-00005
Event key
0
Event type
3
Date of event
2019-09-15
Date received
2019-10-14
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MRS. MICHELLE BURGESS
Address
301 W HOWARD LANE SUITE 100 AUSTIN TX 78753 US
Phone
737-737-7372
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1KYBELLA SKIN GRIDMARKER, SKINALLERGAN (IRVINE)FZZKYBELLA SKIN GRIDNIR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-1401. H; 2. R

Event Narratives#

No narrative records found.