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非侵入性身体塑形的不良事件:食品药品监督管理局制造商和用户设施设备经验数据库分析

Adverse Events of Non-Invasive Body Contouring: Analysis of the Food and Drug Administration Manufacturer and User Facility Device Experience Database.

作者信息

Nguyen Christopher N, Nguyen Quoc-Bao D, Hebert Adelaide A, Gold Michael H

机构信息

School of Medicine, Baylor College of Medicine, Houston, Texas.

Department of Dermatology, The University of Texas, MD Anderson Cancer Center, Houston, Texas.

出版信息

Dermatol Surg. 2022 Sep 1;48(9):943-948. doi: 10.1097/DSS.0000000000003525. Epub 2022 Jul 5.

Abstract

BACKGROUND

Multiple non-invasive modalities have become popular alternatives to surgical procedures for body contouring.

OBJECTIVE

To analyze adverse events (AEs) associated with non-invasive body contouring devices reported through the Manufacturer and User Facility Device Experience (MAUDE) database.

METHODS AND MATERIALS

The MAUDE database were queried for AEs associated with non-invasive body contouring devices between January 2011 and June 2021. An extensive list of keywords and brand and manufacturer names was used.

RESULTS

A total of 1,325 reports with 1,590 AEs were identified among 6 modalities. More than 70% were reported in the past 5 years. Cryolipolysis made up 38.3% reports, which mostly pertained to paradoxical hyperplasia and hernias. Radiofrequency had the most reports (41.9%). Like laser devices, most of their reports described burns. Focused ultrasound was commonly associated with unintentional fat loss and surface irregularities. Focused electromagnetic field resulted in only 7 reports.

CONCLUSION

The analysis of present study supports previous studies concerning common local symptoms caused by these devices, but it also reveals complications not reported in previous device studies. This study highlights the importance of proper technique and adherence to device guidelines. Practitioners should be knowledgeable of potential complications from each device to both prevent and manage them accordingly.

摘要

背景

多种非侵入性方法已成为身体塑形手术的流行替代方案。

目的

分析通过制造商和用户设施设备经验(MAUDE)数据库报告的与非侵入性身体塑形设备相关的不良事件(AE)。

方法和材料

查询MAUDE数据库,以获取2011年1月至2021年6月期间与非侵入性身体塑形设备相关的不良事件。使用了大量的关键词以及品牌和制造商名称列表。

结果

在6种方式中,共识别出1325份报告,涉及1590起不良事件。超过70%的报告是在过去5年中提交的。冷冻溶脂术占报告的38.3%,主要涉及矛盾性增生和疝气。射频报告最多(41.9%)。与激光设备一样,它们的大多数报告描述的是烧伤。聚焦超声通常与意外脂肪减少和表面不平整有关。聚焦电磁场仅产生了7份报告。

结论

本研究的分析支持了先前关于这些设备引起的常见局部症状的研究,但也揭示了先前设备研究中未报告的并发症。本研究强调了正确技术和遵守设备指南的重要性。从业者应了解每种设备的潜在并发症,以便相应地预防和处理它们。

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