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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALLERGAN (PRINGY) JUVEDERM ULTRA PLUS/30HV (VOLUME UNKNOWN); IMPLANT, DERMAL, FOR AESTHETIC USE

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ALLERGAN (PRINGY) JUVEDERM ULTRA PLUS/30HV (VOLUME UNKNOWN); IMPLANT, DERMAL, FOR AESTHETIC USE Back to Search Results
Catalog Number UNK JUVEDERM ULTRAPLUS
Device Problems Shelf Life Exceeded (1567); Improper or Incorrect Procedure or Method (2017)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
Further information from the reporter regarding the event, product, or patient details has been requested.No additional information is available at this time.Device labeling addresses the reported event as follows: health care professional instructions: "the health care professional should instruct the patient to promptly report to her/him any evidence of problems possibly associated with the use of juvéderm® ultra plus injectable gel." shelf life and storage: "juvéderm® ultra plus injectable gel must be used prior to the expiration date printed on the label.".
 
Event Description
Company representative reported that the doctor had used an expired juvéderm® ultra plus syringe.The representative also stated that they had told doctors offices previously that the expiration is good until the last day of the month and wanted to confirm that because they were unsure of what to tell the doctor.No other additional information was provided.
 
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Brand Name
JUVEDERM ULTRA PLUS/30HV (VOLUME UNKNOWN)
Type of Device
IMPLANT, DERMAL, FOR AESTHETIC USE
Manufacturer (Section D)
ALLERGAN (PRINGY)
route de promery
zone artisanale de pre-mairy
pringy 74370
FR  74370
Manufacturer (Section G)
ALLERGAN (PRINGY)
route de promery
zone artisanale de pre-mairy
pringy 74370
FR   74370
Manufacturer Contact
suzanne wojcik
301 w howard lane
suite 100
austin, TX 78753
7372473605
MDR Report Key6623607
MDR Text Key77239848
Report Number3005113652-2017-00494
Device Sequence Number1
Product Code LMH
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P050047
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial
Report Date 06/08/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/08/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNK JUVEDERM ULTRAPLUS
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received05/17/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Other;
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