BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SILICONE PROSTHESIS BREAST PROSTHESIS (CLOSING SEAL WITH INFORMATION ERASED BY T

    MDR report key: 16853598 · Received May 1, 2023

    Report

    Report Number
    MW5117181
    Event Type
    Injury
    Date Received
    May 1, 2023
    Date of Event
    July 21, 2022
    Report Date
    April 25, 2023
    Manufacturer
    UNK
    Product Code
    FTR
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PATIENT WITH BREAST IMPLANTS 27 YEARS AGO DEVELOPED CARCINOMA IN THE CAPSULE. REFERENCE REPORT: MW5117182.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1740056 SILICONE PROSTHESIS BREAST PROSTHESIS (CLOSING SEAL WITH INFORMATION ERASED BY T PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Female Other