BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN

    MDR report key: 1923958 · Received December 8, 2010

    Report

    Report Number
    MW5018536
    Event Type
    Injury
    Date Received
    December 8, 2010
    Date of Event
    August 2, 2010
    Report Date
    December 8, 2010
    Manufacturer
    UNK
    Product Code
    FWM
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    REMOVED AND REPLACED BILATERAL BREAST IMPLANTS.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR