BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INAMED

    MDR report key: 1061863 · Received June 16, 2008

    Report

    Report Number
    MW5007334
    Event Type
    Injury
    Date Received
    June 16, 2008
    Date of Event
    June 9, 2008
    Report Date
    June 16, 2008
    Manufacturer
    ALLERGAN, INC.
    Product Code
    LCJ
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IN 2008, ADMITTED - SIMPLE MASTECTOMY RIGHT SURGICAL REPAIR INSERTION OF TISSUE AND RIGHT BREAST EXPANDER. AT APPROXIMATELY 5 WEEKS LATER, ADMITTED TO HEALTHCARE FACILITY WITH CELLULITIS/INFECTON OF RIGHT BREAST, TREATED WITH ANTIBIOTICS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INAMED TISSUE EXPANDER LCJ ALLERGAN, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention