FDA Adverse Event Injury Summary report: N

BREAST IMPLANT

MDR report key: 13949 · Received June 10, 1994

Report

Report Number
MW1002446
Event Type
Injury
Date Received
June 10, 1994
Manufacturer
MCGHAN MEDICAL CORP.
Product Code
FTR
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

RPTR HAD ANOTHER CO'S BREAST IMPLANTS INSERTED IN 1975. IN 1978 SHE HAD A SQUEEZE CAPSULOTOMY. SHE HAD THIS CO'S IMPLANT IMPLANTED IN 4/79 ON THE LEFT SIDE DUE TO CARCINOMA. SHE HAD FIBROCYSTIC DISEASE OF THE RIGHT BREAST IN 10/79. IN 1/80 SHE HAD A SECOND IMPLANT ON THE RIGHT SIDE (THE FIRST CO'S) DUE TO CARCINOMA. IN 3/80, SHE HAD METASTATIC CARCINOMA OF THE LEFT BREAST INCISION SITE. (SAME RPTR REFERRED TO IN 1002445 AND 1002447.)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BREAST IMPLANT Implant FTR MCGHAN MEDICAL CORP.

Patients

Seq Age Sex Outcome Treatment
1 34 YR Hospitalization| L| S