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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PRINGY UNK JUVEDERM VOLUX; IMPLANT, DERMAL, FOR AESTHETIC USE

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PRINGY UNK JUVEDERM VOLUX; IMPLANT, DERMAL, FOR AESTHETIC USE Back to Search Results
Catalog Number UNK JUVEDERM VOLUX
Device Problems Adverse Event Without Identified Device or Use Problem (2993); No Apparent Adverse Event (3189)
Patient Problems Nodule (4551); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/14/2023
Event Type  Injury  
Event Description
Healthcare professional (hcp) reported a patient was injected in the cheeks with 1cc of juvéderm® volux¿.11 days later the patient experienced swelling described as nickel sized lump to left mid-malar area with left eye swelling.The patient went to a walk-in clinic and was treated with amoxicillin.Injecting hcp injected the area with 10 units of hyaluronidase.The next day the lump with swelling progressively got worse.The hcp discontinued amoxicillin and started on keflex for 5 days.4 days later swelling to the left side of face improved, but the right side of face started with swelling-similar to the left side of face.Four days later, patient¿s bilateral cheeks were swollen and hard.The patient was unable to sleep on the side due to tenderness.The patient was treated with 150 units of hyaluronidase in the right cheek area.Symptoms ongoing.
 
Manufacturer Narrative
Clarification to h.6.Type of investigation code: the filler was injected into the patient and is not accessible for return.The syringe was not returned for evaluation.The event is a physiological complication and analysis of the device generally does not assist abbvie in determining a probable cause for this event.Further information regarding event, product, or patient details has been requested.No additional information is available at this time.This is a known potential adverse event addressed in the product labeling.
 
Manufacturer Narrative
Previous emdr-13127 submission noted the events are a serious injury.Upon further review of abbvie medical safety; it is determined that the events are not considered a serious injury.
 
Event Description
Per medical review, the events are deemed not a serious injury.
 
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Brand Name
UNK JUVEDERM VOLUX
Type of Device
IMPLANT, DERMAL, FOR AESTHETIC USE
Manufacturer (Section D)
PRINGY
route de promery
zone artisanale de pre-mairy 74370
FR  74370
Manufacturer (Section G)
PRINGY
route de promery
zone artisanale de pre-mairy
FR  
Manufacturer Contact
terry ingram
12331-a riata trace parkway
building 3
austin, TX 78727
8479366324
MDR Report Key18239794
MDR Text Key329395028
Report Number3005113652-2023-10009
Device Sequence Number1
Product Code LMH
Combination Product (y/n)Y
Reporter Country CodeCA
PMA/PMN Number
P110033
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date 11/30/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberUNK JUVEDERM VOLUX
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/23/2023
Initial Date FDA Received11/30/2023
Supplement Dates Manufacturer Received12/03/2023
Supplement Dates FDA Received12/12/2023
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 Unknown
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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