FDA Adverse Event Injury Summary report: N

UNK

MDR report key: 1011399 · Received March 10, 2008

Report

Report Number
MW5005852
Event Type
Injury
Date Received
March 10, 2008
Date of Event
February 29, 2008
Report Date
March 10, 2008
Product Code
FWM
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MO, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

BILATERAL BREAST IMPLANTS FROM 1981 RUPTURED. BILATERAL RUPTURED IMPLANTS REMOVED AND SENT TO PATHOLOGY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK BREAST IMPLANTS FWM

Patients

Seq Age Sex Outcome Treatment
1 Disability