inforMED
MalfunctionQKL

LIPOASPIRATE WASH SYSTEM

Received Jul 8, 2026 · Event occurred Jul 1, 2026

Report 1651189-2026-10890 · MDR key 25750166

Device

Generic name

Fat Transfer

Model number

VIALITY-1400

Catalog number

VIALITY-1400

Lot number

A61652

Product problems

  • Leak/Splash

Patient

99 YR · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

TIGER AESTHETICS MEDICAL COMPLAINT #: (B)(4). PATIENT AGE DEFAULTED TO "99" AS NO PATIENT INFORMATION WAS PROVIDED. AT THIS TIME, THE SUSPECT DEVICE HAS NOT BEEN RETURNED FOR EVALUATION. TIGER AESTHETICS MEDICAL WILL SUBMIT A SUPPLEMENTAL REPORT IN ACCORDANCE WITH 21 CFR SECTION 803.56 IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

VIALITY UNIT WAS LEAKING DURING THE CASE. A NEW VIALITY UNIT WAS REQUIRED TO COMPLETE THE PROCEDURE.