BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SILASTIC BREAST IMPLANT

    MDR report key: 169634 · Received May 27, 1998

    Report

    Report Number
    169634
    Event Type
    Injury
    Date Received
    May 27, 1998
    Date of Event
    April 23, 1998
    Report Date
    May 8, 1998
    Manufacturer
    DOW CORNING CORP./MEDICAL DEVICE REPORTING
    Product Code
    FTR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    EXPLANTATION OF L BREAST IMPLANT DUE TO PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SILASTIC BREAST IMPLANT Implant MAMMARY IMPLANT FTR DOW CORNING CORP./MEDICAL DEVICE REPORTING * HH096409

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Hospitalization