BEUDAMED
    FDA Adverse Event Summary report: N

    MAMMARY PROSTHESIS

    MDR report key: 13491 · Received May 24, 1994

    Report

    Report Number
    MW1002190
    Date Received
    May 24, 1994
    Report Date
    May 13, 1994
    Manufacturer
    MENTOR 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 RASHES, SCALY SKIN, BURNING PAIN IN CHEST, DRY EYES AND VAGINA, HANDS TURN WHITE IN COLD, JOINT SWELLING AND TENDERNESS, ENLARGED LYMPH NODES, MUSCLE ACHES, PAINS AND WEAKNESS, LOSS OF MEMORY AND SENSATION, HAIR LOSS, BLADDER AND COLON PROBLEMS, CHRONIC FATIGUE, LOW GRADE FEVER, AND EYE PROBLEMS. (SAME RPTR REFERRED TO IN 1002189.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAMMARY PROSTHESIS FTR MENTOR CORP. 26480, 17022

    Patients

    Seq Age Sex Outcome Treatment
    1 * *