FDA Adverse Event Injury Summary report: N

SPECTRUM CONTOUR POST-OPERATIVELY ADJUSTABLE MAMMARY PROSTHE

MDR report key: 192075 · Received October 12, 1998

Report

Report Number
1645337-1998-00198
Event Type
Injury
Date Received
October 12, 1998
Date of Event
June 3, 1998
Report Date
September 28, 1998
Manufacturer
MENTOR
Product Code
FWM
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
EG
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE PT WAS IMPLANTED WITH A SPECTRUM CONTOUR POST-OPERATIVE ADJUSTABLE MAMMARY PROSTHESIS ON 8/10/1996. SUBSEQUENTLY, THE PT EXPERIENCED A SEROMA. THE DEVICE WAS REMOVED ON 7/25/1998.

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 NI

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Required Intervention