FDA Adverse Event Injury Summary report: N

GEL-SALINE MAMMARY IMPLANT

MDR report key: 17588 · Received November 11, 1994

Report

Report Number
MW1004003
Event Type
Injury
Date Received
November 11, 1994
Date of Event
September 1, 1994
Report Date
November 4, 1994
Manufacturer
MCGHAN MEDICAL CORP.
Product Code
FTR
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

BREAST INFILTRATING DUCTAL CARCINOMA. ARTHRITIS SYMPTOMS, BREAST CANCER, JOINT PROBLEMS, FROZEN SHOULDER, AND FOOT NEUROMAS. ALSO SEE 1004002.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GEL-SALINE MAMMARY IMPLANT Implant FTR MCGHAN MEDICAL CORP. STYLE 76

Patients

Seq Age Sex Outcome Treatment
1 49 YR Other| R