BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DOW CORNING

    MDR report key: 193007 · Received October 21, 1998

    Report

    Report Number
    MW1014792
    Event Type
    Injury
    Date Received
    October 21, 1998
    Date of Event
    March 1, 1973
    Report Date
    April 12, 1998
    Manufacturer
    DOW CORNING CORP.
    Product Code
    FTR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DOW CORNING SILICONE BREAST IMPLANTS IN 3/73. MULTI PROBLEM "FALL G". ON OCT 9 1992, EXPLANT OF SILICONE IMPLANTS AND CAPSULES. CONSTANT AND CHRONIC DETERIRATING HEALTH AND CONTINUAL TREATMENTS. IMPLANTS EVALUATED AT INDEPENDANT UNIVERSITY. NO INFORMED CONSENT OR STICKER INFO OF NUMBERS GIVEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DOW CORNING Implant BREAST IMPLANTS SILICONE FTR DOW CORNING CORP. NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Hospitalization| O| S