FDA.reportPublic FDA data

MAUDE MDR 9908420

MDR report key
9908420
Report number
3005113652-2020-00164
Event key
0
Event type
3
Date of event
2020-02-21
Date received
2020-03-31
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MRS. MICHELLE BURGESS
Address
12331-A RIATA TRACE PARKWAY BUILDING 3 AUSTIN TX 78727 US
Phone
737-737-7372
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VOLIFT (VOLUME UNKNOWN)IMPLANT, DERMAL, FOR AESTHETIC USEALLERGAN (PRINGY)LMHUNK VOLIFTNIR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-3101. R

Event Narratives#

No narrative records found.