BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GEL-FILLED MAMMARY PROSTHESIS

    MDR report key: 119218 · Received September 11, 1997

    Report

    Report Number
    6000080-1997-00273
    Event Type
    Injury
    Date Received
    September 11, 1997
    Date of Event
    September 27, 1974
    Report Date
    August 25, 1997
    Manufacturer
    AMERICAN HEYER-SCHULTE
    Product Code
    FTR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PLAINTIFF ALLEGES "...INJURIES AS A RESULT OF...IMPLANTS CONTAINING OF CONSISTING OF SILICONE, SILICONE GEL, AND/OR AN ELASTOMER MADE OF SILICONE."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GEL-FILLED MAMMARY PROSTHESIS Implant BREAST IMPLANT FTR AMERICAN HEYER-SCHULTE STYLE 2100 7894

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other