FDA Adverse Event
Injury
Summary report: N
TISSUE EXPANDER STYLE 133 V
MDR report key: 1031744
·
Received April 16, 2008
Report
- Report Number
- 1031744
- Event Type
- Injury
- Date Received
- April 16, 2008
- Date of Event
- January 25, 2008
- Report Date
- April 14, 2008
- Manufacturer
- ALLERGAN
- Product Code
- FTR
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- HI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
RIGHT BREAST IMPLANT INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TISSUE EXPANDER STYLE 133 V | TISSUE EXPANDER | FTR | ALLERGAN | REF 133MV-14 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR | Hospitalization |