MAUDE Adverse Event Report: ALLERGAN PLEASANTON COOLSCULPTING ELITE SYSTEM; DERMAL COOLING PACK/VACUUM/MASSAGER

Catalog Number	CS-S3-002-D-00
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Hyperplasia (1906)
Date of Event	03/25/2026
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
This is a known potential adverse event addressed in the product labeling.According to the coolsculpting user manual, under rare adverse events, paradoxical adipose hyperplasia (ph) is characterized by a visibly enlarged tissue volume within the treatment area, which may develop two to five months after treatment.Surgical intervention may be required.Ph is not related to any coolsculpting device failure mode but it is included in the risk management files of the device because it is a risk that is inherent to the use cryolipolysis for localized fat reduction.A supplemental report will be submitted if and when additional information is obtained.
Event or Problem Description
Healthcare professional reported that a patient was treated over the flanks, abdomen, posterior bra, and inner thighs; with the curve 150, flat 125, curve 240, and curve 120 applicators on (b)(6) 2025, (b)(6) 2025, (b)(6) 2025, (b)(6) 2025, (b)(6) 2025, and (b)(6) 2025, and presented with paradoxical hyperplasia.

• Brand Name: COOLSCULPTING ELITE SYSTEM
• Common Device Name: DERMAL COOLING PACK/VACUUM/MASSAGER
• Manufacturer (Section D): ALLERGAN PLEASANTON; 4410 rosewood dr; dublin CA 94558
• Manufacturer (Section G): DUBLIN REFURBISH; 4410 rosewood dr; dublin CA 94558
• Manufacturer Contact: terry ingram ; 2525 dupont drive; irvine, CA 92612 ; 8479366324
• MDR Report Key: 24874287
• Report Number: 3007215625-2026-00185
• Device Sequence Number: 10020185
• Product Code: OOK
• UDI-Device Identifier: 00816417021619
• UDI-Public: (01)00816417021619(11)230907(17)991231
• Combination Product (Y/N): N
• Initial Reporter State: FL
• Initial Reporter Country: US
• PMA/510(K) Number: K183514
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 04/14/2026

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 Number: CS-S3-002-D-00
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 03/25/2026
• Initial Report FDA Received Date: 04/14/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 60 YR
• Patient Sex: Female
• Patient Weight: 76 KG
• Patient Race: Black Or African American