MAUDE Adverse Event Report: Allergan (Pleasanton) Coolsculpting System; Dermal cooling pack/vacuum/massager

Catalog Number	SA16787
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Hyperplasia (1906)
Date of Event	04/01/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
Healthcare professional reported that patient experienced paradoxical hyperplasia to the back and anterior bra after coolsculpting system treatment on (b)(6) 2025, using a cool advantage and cool advantage plus applicators.6-7 months post treatment.
Additional Manufacturer Narrative
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.Concomitant devices: coolsculpting system serial number: (b)(6) catalog number: sa16787 lot number: ni udi: (b)(4) manufacturing date: 06/june/2018.Coolsculpting system serial number: (b)(6) catalog number: sa16787 lot number: ni udi: (b)(4) manufacturing date: 06/june/2018.

• Brand Name: Coolsculpting System
• Common Device Name: Dermal cooling pack/vacuum/massager
• Manufacturer (Section D): Allergan (Pleasanton); 4410 rosewood dr; pleasanton CA 94588
• Manufacturer (Section G): Allergan (Pleasanton); 4410 rosewood dr; pleasanton CA 94588
• Manufacturer Contact: terry ingram ; 2525 dupont drive; irvine, CA 92612 ; +1(847)936-6324
• MDR Report Key: 50896751
• Report Number: 3007215625-2026-00489
• Device Sequence Number: 5904083
• Product Code: OOK
• UDI-Device Identifier: 00816417020001
• UDI-Public: (01)00816417020001
• Combination Product (Y/N): N
• Initial Reporter Country: ID
• PMA/510(K) Number: K160259
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 09/25/2026

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: SA16787
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 09/16/2026
• Initial Report FDA Received Date: 09/25/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 06/06/2018
• 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
• Concomitant Medical Products and Therapy/Usage Dates: (b)(6)
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 52 YR
• Patient Sex: Female
• Patient Weight: 143 LB
• Patient Race: Asian