FDA Adverse Event
Summary report: N
SILASTIC TESTICULAR IMPLANT, LATTIMER DESIGN, YOUTH SIZE
MDR report key: 11331
·
Received February 4, 1994
Report
- Report Number
- MW1000639
- Date Received
- February 4, 1994
- Report Date
- January 25, 1994
- Manufacturer
- DOW CORNING CORP.
- Product Code
- FAF
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
ON 2/12/90 PT HAD ORCHIECTOMY AND PLACEMENT OF TESTICULAR IMPLANT. ON 1/24/94, AT THE PARENTS REQUEST, THE IMPLANT WAS REMOVED. THE PT HAD EXPERIENCED NO PROBLEMS OR UNTOWARD SIGNS OR SYMPTOMS. BOTH PROCEDURES WERE DONE BY THE SAME SURGEON AT THE SAME HOSP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SILASTIC TESTICULAR IMPLANT, LATTIMER DESIGN, YOUTH SIZE | FAF | DOW CORNING CORP. | HH118480 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |