BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 1260635 · Received December 2, 2008

    Report

    Report Number
    MW5009149
    Event Type
    Injury
    Date Received
    December 2, 2008
    Date of Event
    October 28, 2008
    Report Date
    December 2, 2008
    Manufacturer
    UNK
    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 UNK BREAST IMPLANTS FWM UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR