FDA Adverse Event Injury Summary report: N

STYLE 410 COHESIVE SILICONE GEL FILLED BREAST IMPLANT

MDR report key: 19189161 · Received April 26, 2024

Report

Report Number
9617229-2024-07271
Event Type
Injury
Date Received
April 26, 2024
Report Date
May 30, 2025
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
PMA / PMN Number
P040046
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL, CHANGED, AND/OR CORRECTED DATA: B2, D6A.

Additional Manufacturer Narrative · 0

JOURNAL ARTICLE CITATION: DAVANZO, V.; FALDA, A.; FOGAR, P.; LUDWIG, K.; ZUIN, J.; TOFFANIN, M.C.; PIZZI, M.; DEI TOS, A.P.; BASSO, D. FLOW CYTOMETRY ANALYSIS IN BREAST IMPLANT-ASSOCIATED ANAPLASTIC LARGE CELL LYMPHOMA: THREE CASE REPORTS. INT. J. MOL. SCI. 2024, 25, 3518. HTTPS://DOI.ORG/10.3390/IJMS25063518 ACADEMIC EDITORS: CLAUDIO ORTOLANI, JOSÉ-ENRIQUE O¿CONNOR AND MONIA LENZI. RECEIVED: 19 FEBRUARY 2024, REVISED: 16 MARCH 2024, ACCEPTED: 18 MARCH 2024, PUBLISHED: 20 MARCH 2024. CONTRIBUTING AUTHORS: VERONICA DAVANZO LABORATORY MEDICINE UNIT, BIOMEDICAL SCIENCES DEPARTMENT¿DSB, UNIVERSITY OF PADOVA, 35128 PADOVA, ITALY. ALESSANDRA FALDA: AUTHOR FOR CORRESPONDENCE; EMAIL: [email protected] LABORATORY MEDICINE UNIT, INTEGRATED DIAGNOSTIC SERVICES¿DIDAS, PADOVA UNIVERSITY HOSPITAL, 35128 PADOVA, ITALY. PAOLA FOGAR LABORATORY MEDICINE UNIT, INTEGRATED DIAGNOSTIC SERVICES¿DIDAS, PADOVA UNIVERSITY HOSPITAL, 35128 PADOVA, ITALY. KATHRIN LUDWIG SURGICAL PATHOLOGY AND CYTOPATHOLOGY UNIT, DEPARTMENT OF MEDICINE¿DIMED, PADOVA UNIVERSITY HOSPITAL, 35128 PADOVA, ITALY. JENNY ZUIN LABORATORY MEDICINE UNIT, INTEGRATED DIAGNOSTIC SERVICES¿DIDAS, PADOVA UNIVERSITY HOSPITAL, 35128 PADOVA, ITALY. MARIA CRISTINA TOFFANIN DEPARTMENT OF BREAST SURGERY, VENETO INSTITUTE OF ONCOLOGY IOV IRCCS, 35128 PADOVA, ITALY. MARCO PIZZI SURGICAL PATHOLOGY AND CYTOPATHOLOGY UNIT, DEPARTMENT OF MEDICINE¿DIMED, PADOVA UNIVERSITY HOSPITAL, 35128 PADOVA, ITALY SURGICAL PATHOLOGY AND CYTOPATHOLOGY UNIT, DEPARTMENT OF MEDICINE¿DIMED, UNIVERSITY OF PADOVA, 35128 PADOVA, ITALY. ANGELO PAOLO DEI TOS SURGICAL PATHOLOGY AND CYTOPATHOLOGY UNIT, DEPARTMENT OF MEDICINE¿DIMED, PADOVA UNIVERSITY HOSPITAL, 35128 PADOVA, ITALY SURGICAL PATHOLOGY AND CYTOPATHOLOGY UNIT, DEPARTMENT OF MEDICINE¿DIMED, UNIVERSITY OF PADOVA, 35128 PADOVA, ITALY. DANIELA BASSO LABORATORY MEDICINE UNIT, INTEGRATED DIAGNOSTIC SERVICES¿DIDAS, PADOVA UNIVERSITY HOSPITAL, 35128 PADOVA, ITALY LABORATORY MEDICINE UNIT, DEPARTMENT OF MEDICINE¿DIMED, UNIVERSITY OF PADOVA, 35128 PADOVA, ITALY. THE EVENTS OF SEROMA-LATE AND LYMPHOMA-ALCL ARE PHYSIOLOGICAL COMPLICATIONS AND ANALYSIS OF THE DEVICE GENERALLY DOES NOT ASSIST ALLERGAN IN DETERMINING A PROBABLE CAUSE FOR THIS EVENT. FURTHER INFORMATION FROM THE REPORTER REGARDING EVENT, PRODUCT, OR PATIENT DETAILS HAS BEEN REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. THE REASON FOR REOPERATION: RUPTURE, SEROMA-LATE, LYMPHOMA-ALCL.

Description of Event or Problem · 0

A LITERATURE REVIEW TITLED "FLOW CYTOMETRY ANALYSIS IN BREAST IMPLANT-ASSOCIATED ANAPLASTIC LARGE CELL LYMPHOMA: THREE CASE REPORTS" REPORTED: CASE 2 FOR LEFT SIDE DEVICE - PERIPROSTHETIC EFFUSION, RUPTURE OF THE LEFT IMPLANT; LEFT BREAST WAS DEFORMED BY A NOT VERY COMPRESSIBLE COLLECTION, WITHOUT SIGNS OF INFLAMMATION, MASS, LYMPHADENOPATHY, OR ANY OTHER LESIONS. HISTOPATHOLOGICAL MARKERS OF CD30+ AND ALK- HAVE BEEN PROVIDED. THE DEVICE HAS BEEN EXPLANTED. MANUFACTURER OF THE DEVICE IS UNKNOWN.

Description of Event or Problem · 0

A LITERATURE REVIEW TITLED "FLOW CYTOMETRY ANALYSIS IN BREAST IMPLANT-ASSOCIATED ANAPLASTIC LARGE CELL LYMPHOMA: THREE CASE REPORTS" REPORTED: CASE 2 FOR LEFT SIDE DEVICE - PERIPROSTHETIC EFFUSION, RUPTURE OF THE LEFT IMPLANT; LEFT BREAST WAS DEFORMED BY A NOT VERY COMPRESSIBLE COLLECTION, WITHOUT SIGNS OF INFLAMMATION, MASS, LYMPHADENOPATHY, OR ANY OTHER LESIONS. HISTOPATHOLOGICAL MARKERS OF CD30+ AND ALK- HAVE BEEN PROVIDED. THE DEVICE HAS BEEN EXPLANTED. MANUFACTURER OF THE DEVICE IS UNKNOWN.

Description of Event or Problem · 0

A LITERATURE REVIEW TITLED "FLOW CYTOMETRY ANALYSIS IN BREAST IMPLANT-ASSOCIATED ANAPLASTIC LARGE CELL LYMPHOMA: THREE CASE REPORTS" REPORTED: CASE 2 FOR LEFT SIDE DEVICE - PERIPROSTHETIC EFFUSION, RUPTURE OF THE LEFT IMPLANT; LEFT BREAST WAS DEFORMED BY A NOT VERY COMPRESSIBLE COLLECTION, WITHOUT SIGNS OF INFLAMMATION, MASS, LYMPHADENOPATHY, OR ANY OTHER LESIONS. HISTOPATHOLOGICAL MARKERS OF CD30+ AND ALK- HAVE BEEN PROVIDED. THE DEVICE HAS BEEN EXPLANTED. MANUFACTURER OF THE DEVICE IS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
886180 STYLE 410 COHESIVE SILICONE GEL FILLED BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) NI

Patients

Seq Age Sex Outcome Treatment
1 34 YR Female Required Intervention| L