MAUDE Adverse Event Report: Pringy Juvederm Vollure XC; implant, dermal, for aesthetic use

Catalog Number	95661DB
Medical Device Problem Code	Off-Label Use (1494)
Health Effect - Clinical Codes	Inflammation (1932); Nodule (4551)
Date of Event	04/20/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
Healthcare professional reported injecting a patient in the lips with one syringe of juvéderm vollure¿ xc.A month later, the patient reported ¿blisters¿ on the lips, a ¿veiny¿ upper lip, and ¿nodules¿ and was treated that day with valtrex 500 mg 1 per day for 10 days.Nine days later, the patient was treated with clindamycin 200 mg 3 times per day for 10 days and a medrol dosepak.Six days later, the patient was given another medrol dosepak.Eight days later, a physical exam was performed, and the patient was advised to return in 4 weeks.Six weeks later, another physical exam was performed, with 90% of the event resolved.A month later, another physical exam was performed that showed ¿blisters (not open) and nodules.¿ the patient reported the lips looked fine for 8 days.Event was ongoing.
Additional Manufacturer Narrative
Clarification to e.1.Address 1: (b)(6).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.A review of the device history record has been initiated.If any new, changed or corrected information is noted, a supplemental medwatch will be submitted.This is a known potential adverse event addressed in the product labeling.

• Brand Name: Juvederm Vollure XC
• Common Device Name: implant, dermal, for aesthetic use
• Manufacturer (Section D): Pringy; route de promery; zone artisanale de pre-mairy; pringy 74370 ; FR 74370
• Manufacturer (Section G): Pringy; route de promery; zone artisanale de pre-mairy; pringy 74370 ; FR 74370
• Manufacturer Contact: terry ingram ; 2525 dupont drive; irvine, CA 92612 ; +1(847)936-6324
• MDR Report Key: 50148806
• Report Number: 3005113652-2026-00879
• Device Sequence Number: 16095101
• Product Code: LMH
• UDI-Device Identifier: 10840228302817
• UDI-Public: (01)10840228302817(17)260523(10)1002255727
• Combination Product (Y/N): Y
• Initial Reporter State: AR
• Initial Reporter Country: US
• PMA/510(K) Number: P110033
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2026
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Nurse
• Type of Report: Initial
• Report Date (Section B): 08/05/2026

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?: Yes
• Operator of Device: Health Professional
• Device Expiration Date: 05/23/2026
• Device Catalogue Number: 95661DB
• Device Lot Number: 1002255727
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Initial Date Received by Manufacturer: 07/28/2026
• Initial Report FDA Received Date: 08/05/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 06/23/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 58 YR
• Patient Sex: Female
• Patient Weight: 125 LB