MAUDE MDR 9908457

MDR report key
9908457
Report number
3005113652-2020-00196
Event key
0
Event type
3
Date received
2020-03-31
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
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
1JUVEDERM VOLUMA XC/LIDO (VOLUME UNKNOWN)IMPLANT, DERMAL, FOR AESTHETIC USEALLERGAN (PRINGY)LMHUNK JUVEDERM VOLUMA XC/LIDONIR N

Patients#

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

Event Narratives#

No narrative records found.