BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SALINE BREAST IMPLANTS

    MDR report key: 1760826 · Received July 1, 2010

    Report

    Report Number
    1760826
    Event Type
    Injury
    Date Received
    July 1, 2010
    Date of Event
    June 25, 2010
    Report Date
    July 1, 2010
    Manufacturer
    UNKNOWN
    Product Code
    FWM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SALINE BREAST IMPLANT DEFLATED. IMPLANT REMOVED AND REPLACED BY PHYSICIAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SALINE BREAST IMPLANTS NONE FWM UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Required Intervention