BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 173921 · Received June 22, 1998

    Report

    Report Number
    173921
    Event Type
    Other
    Date Received
    June 22, 1998
    Date of Event
    June 17, 1998
    Report Date
    June 19, 1998
    Manufacturer
    NA
    Product Code
    FTR
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NV, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    BILATERAL CAPSULAR CONTRACTURE WHICH REQUIRED BILATERAL CAPSULECTOMY AND REMOVAL OF BILATERAL SILICONE BREAST IMPLANTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK Implant SILICONE BREAST IMPLANT FTR NA UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Other