FDA Adverse Event Injury Summary report: N

UNK

MDR report key: 1013896 · Received March 11, 2008

Report

Report Number
1013896
Event Type
Injury
Date Received
March 11, 2008
Date of Event
July 11, 2007
Report Date
March 7, 2008
Manufacturer
INAMD
Product Code
FWM
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
HI, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

INFECTED IMPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK BREAST IMPLANT FWM INAMD NA NA

Patients

Seq Age Sex Outcome Treatment
1 61 YR Hospitalization