FDA Adverse Event Summary report: N

SURGITEK MAMMARY PROSTHESIS

MDR report key: 13457 · Received May 23, 1994

Report

Report Number
MW1002172
Date Received
May 23, 1994
Date of Event
July 29, 1987
Report Date
May 13, 1994
Manufacturer
MEDICAL ENGINEERING 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 CYSTS ON LIVER, PAIN IN RIGHT ARM, BACK PAIN IN UPPER RIGHT SIDE, PAIN UNDER RIGHT BREAST (RIB CAGE). (SAME RPTR REFERRED TO IN 1002171.)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SURGITEK MAMMARY PROSTHESIS Implant FTR MEDICAL ENGINEERING CORP. 16544-87D, 16541-87D

Patients

Seq Age Sex Outcome Treatment
1 *