BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN

    MDR report key: 1861348 · Received October 4, 2010

    Report

    Report Number
    MW5017675
    Event Type
    Injury
    Date Received
    October 4, 2010
    Date of Event
    September 29, 2010
    Report Date
    October 4, 2010
    Manufacturer
    UNKNOWN
    Product Code
    FWM
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    REMOVE AND REPLACE BILATERAL BREAST IMPLANTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN BREAST IMPLANTS FWM UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR