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 |