BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BREAST IMPLANTS

    MDR report key: 1050073 · Received May 20, 2008

    Report

    Report Number
    MW5006960
    Event Type
    Injury
    Date Received
    May 20, 2008
    Date of Event
    May 4, 2007
    Report Date
    May 20, 2008
    Product Code
    FWM
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    REMOVE AND REPLACE BILATERAL BREAST IMPLANTS.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR