FDA Adverse Event Injury Summary report: N

PROSTHESIS, MAMMARY, INTERNAL

MDR report key: 15538 · Received July 13, 1994

Report

Report Number
15538
Event Type
Injury
Date Received
July 13, 1994
Date of Event
May 23, 1994
Report Date
June 3, 1994
Manufacturer
HEYER-SCHULTE CORP.
Product Code
FTR
Product Problem
Yes
Report Source
User Facility report
Reporter Location
VA, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

S/P MAMMARY IMPLANTS WITH FAILURE OF PROSTHESIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 Implant PROSTHESIS, MAMMARY, INTERNAL FTR HEYER-SCHULTE CORP. 156637 X 2

Patients

Seq Age Sex Outcome Treatment
1 55 YR Required Intervention