FDA Adverse Event Injury Summary report: N

SPECTRUM CONTOUR POST-OPERATIVELY ADJUSTABLE MAMMARY PROSTHE

MDR report key: 185497 · Received August 31, 1998

Report

Report Number
1645337-1998-00160
Event Type
Injury
Date Received
August 31, 1998
Date of Event
November 11, 1997
Report Date
July 7, 1998
Manufacturer
MENTOR
Product Code
FWM
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE PATIENT WAS IMPLANTED WITH A SPECTRUM CONTOUR POST-OPERATIVELY ADJUSTABLE MAMMARY PROSTHESIS ON 10/21/1997. SUBSEQUENTLY, THE PATIENT EXPERIENCED A DEFLATION OF THE DEVICE AND AN INFECTION IN THE BREAST. THE DEVICE WAS REMOVED ON 01/13/1998.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPECTRUM CONTOUR POST-OPERATIVELY ADJUSTABLE MAMMARY PROSTHE Implant MAMMARY PROSTHESIS FWM MENTOR NA 146269

Patients

Seq Age Sex Outcome Treatment
1 22 YR Required Intervention