FDA Adverse Event Injury Summary report: N

GEL-FILLED MAMMARY PROSTHESIS

MDR report key: 102371 · Received July 1, 1997

Report

Report Number
6000001-1997-00772
Event Type
Injury
Date Received
July 1, 1997
Date of Event
August 15, 1977
Report Date
June 6, 1997
Manufacturer
AMERICAN HEYER-SCHULTE
Product Code
FTR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

PLAINTIFF ALLEGES"...SUFFERED INJURIES AND DAMAGES...".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GEL-FILLED MAMMARY PROSTHESIS Implant BREAST IMPLANT FTR AMERICAN HEYER-SCHULTE UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other