BEUDAMED
    FDA Adverse Event Summary report: N

    MAMMARY PROSTHESIS

    MDR report key: 13433 · Received May 23, 1994

    Report

    Report Number
    MW1002148
    Date Received
    May 23, 1994
    Date of Event
    March 31, 1980
    Report Date
    March 14, 1994
    Manufacturer
    DOW CORNING CORP.
    Product Code
    FTR
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    RPTR COMPLAINS OF SWELLING IN LEFT ARM, CHRONIC FATIGUE, UNUSUAL HAIR LOSS, RAYNAUD'S SYNDROME, ACHING IN JOINTS, ARMS, LEGS AND SHOULDERS, MUSCLE ACHES, AND MEMORY LOSS. (SAME RPTR REFERRED TO IN 1002149.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAMMARY PROSTHESIS Implant FTR DOW CORNING CORP. HH4297

    Patients

    Seq Age Sex Outcome Treatment
    1 *