FDA Adverse Event Injury Summary report: N

INAMED AESTHETICS OR MCGHAN 68 BREAST IMPLANT 300 CC SALINE-FILLED

MDR report key: 1982211 · Received February 3, 2011

Report

Report Number
MW5019307
Event Type
Injury
Date Received
February 3, 2011
Date of Event
March 7, 2008
Report Date
February 3, 2011
Manufacturer
INAMED AESTHETICES
Product Code
FWM
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
VA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

I SUFFER FROM SEVERE FACIAL PAIN. ATYPICAL FACIAL PAIN IS THE DIAGNOSIS AND IT IS A NEUROLOGICAL DISORDER. THIS NEUROLOGICAL DISORDER RESULTED IN ME HAVING ALL OF MY TEETH EXTRACTED AS I WAS DESPERATE TO END THE PAIN AND I THOUGHT IT WAS RELATED TO MY TEETH. I ALSO SUFFER FROM CHRONIC FATIGUE, CHRONIC BACTERIAL VAGINOSIS, AND SEVERE DEPRESSION. REASON FOR USE: ELECTIVE COSMETIC PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INAMED AESTHETICS OR MCGHAN 68 BREAST IMPLANT 300 CC SALINE-FILLED INAMED DEVICE FWM INAMED AESTHETICES 68 1258551 12054335
2 INAMED AESTHETICS OR MCGHAN 68 BREAST IMPLANT 300 CC SALINE-FILLED INAMED DEVICE FWM INAMED AESTHETICES 68 1263238

Patients

Seq Age Sex Outcome Treatment
1 24 YR Other| R