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	06/02/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
Healthcare professional reported that a patient received coolsculpting treatment over the submental area and abdomen, with curve 80, curve 150 and curve 240 applicators, and presented paradoxical hyperplasia and "nodules, tender, hardened fat" one day after treatment.Following treatments performed on (b)(6)2026.
Additional Manufacturer Narrative
Aems announcement for as2/api submitter.This report was impacted by emdr scheduled maintenance occurring july 22-27, 2026.Per fda guidance, the ack1 timestamp is the official receipt date during the period; therefore, submissions successfully received by the fda during this period will not be considered late.Paradoxical adipose hyperplasia (ph) is a known potential adverse event addressed in the product labeling.According to the coolsculpting user manual, under rare adverse events, 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.

• 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 ; +1(847)936-6324
• MDR Report Key: 50057129
• Report Number: 3007215625-2026-00362
• Device Sequence Number: 13444382
• Product Code: OOK
• UDI-Device Identifier: 00816417021619
• UDI-Public: (01)00816417021619
• Combination Product (Y/N): N
• Initial Reporter State: NC
• Initial Reporter Country: US
• PMA/510(K) Number: K183514
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 07/28/2026

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: 06/29/2026
• Initial Report FDA Received Date: 07/28/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 12/11/2024
• 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: 51 YR
• Patient Sex: Female
• Patient Weight: 154 LB
• Patient Race: Black Or African American