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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYMATESE EVOLYSSE SMOOTH; IMPLANT, DERMAL, FOR AESTHETIC USE

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SYMATESE EVOLYSSE SMOOTH; IMPLANT, DERMAL, FOR AESTHETIC USE Back to Search Results
Catalog Number EVO-SMTH-01
Medical Device Problem Code No Apparent Adverse Event (3189)
Health Effect - Clinical Code Local Reaction (2035)
Date of Event 08/20/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
(b)(4).
 
Event or Problem Description
The healthcare professional reported injecting 0.35ml of evolysse smooth into bilateral cheeks.Patient experienced "noticeable bump" that can be felt and seen.Hcp recommended massage of the bump.Then on (b)(6) 2025 the hcp injected the bump intradermally with hylenex.The patient's conditions is reported to have resolved.
 
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Brand Name
EVOLYSSE SMOOTH
Common Device Name
IMPLANT, DERMAL, FOR AESTHETIC USE
Manufacturer (Section D)
SYMATESE
zi les troques
chapnost, auvergne-rhone-alpes 69630
FR  69630
MDR Report Key23415505
Report Number3015260155-2025-00122
Device Sequence Number15689691
Product Code LMH
UDI-Device Identifier03760172161271
UDI-Public(01)03760172161271(17)20270331(10)S2251220015
Combination Product (Y/N)N
Initial Reporter StateNC
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Serviced by Third Party (Y/N)N
Reporter Type Importer
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 10/28/2025
Report Date (Section F) 10/29/2025
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
Operator of Device Health Professional
Device Catalogue NumberEVO-SMTH-01
Device Lot NumberS2251220015
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Distributor Facility Aware Date09/29/2025
Event Location Other
Date Report to Manufacturer10/29/2025
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date10/29/2025
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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