FDA Adverse Event
Summary report: N
HEYER-SCHULTE MAMMARY PROSTHESIS
MDR report key: 13306
·
Received May 18, 1994
Report
- Report Number
- MW1002044
- Date Received
- May 18, 1994
- Date of Event
- May 9, 1980
- Report Date
- May 5, 1994
- Manufacturer
- V. MUELLER DIV. BAXTER HEALTHCARE CORP.
- Product Code
- FTR
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
PT COMPLAINS OF RUPTURED IMPLANTS, MUSCLE ACHES AND PAINS, BREAST HARDNESS, ITCHING, ENLARGED GLANDS, FATIGUE, SWELLING OF HANDS AND FEET, RASHES, NERVE INFLAMMATION, BURNING PAIN IN CHEST, DRY EYES AND VAGINA, JOINT TENDERNESS, EASY BRUISING, NOSE AND MOUTH ULCERS, AND TINGLING IN LEGS AND ARMS. (SAME PT REFERRED TO IN 1002045.)
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HEYER-SCHULTE MAMMARY PROSTHESIS Implant | FTR | V. MUELLER DIV. BAXTER HEALTHCARE CORP. | 202878 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |