FDA Adverse Event Other Summary report: N

UNK

MDR report key: 127911 · Received October 21, 1997

Report

Report Number
127911
Event Type
Other
Date Received
October 21, 1997
Date of Event
October 17, 1997
Report Date
October 20, 1997
Manufacturer
UNK
Product Code
FWN
Adverse Event
Yes
Report Source
User Facility report
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

EXCHANGE OF RT BREAST IMPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK BREAST IMPLANT FWN UNK * *

Patients

Seq Age Sex Outcome Treatment
1 45 YR Other