BEUDAMED
    FDA Adverse Event Other Summary report: N

    MENTOR

    MDR report key: 1061864 · Received June 16, 2008

    Report

    Report Number
    MW5007335
    Event Type
    Other
    Date Received
    June 16, 2008
    Date of Event
    June 10, 2008
    Report Date
    June 16, 2008
    Manufacturer
    MENTOR CORP.
    Product Code
    LCJ
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IN 2008, TOTAL LEFT MASTECTOMY SENTINAL LYMPH NODE BIOPSY, LEFT AXILLARY LYMPH NODE DISSECTION. IMMEDIATE RECONSTRUCTION OF LEFT BREAST WITH EXPANDER AND ALLODERM PLACEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MENTOR BREAST TISSUE EXPANDER LCJ MENTOR CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Other