FDA Adverse Event Injury Summary report: N

UNK MAMMARY IMPLANT

MDR report key: 19829589 · Received July 25, 2024

Report

Report Number
9617229-2024-17598
Event Type
Injury
Date Received
July 25, 2024
Date of Event
June 7, 2024
Report Date
July 25, 2024
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FWM
PMA / PMN Number
P990074
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CLARIFICATION: SECTION D, IT IS NOT KNOWN WHAT FILL DEVICES ARE: SILICONE GEL OR SALINE, DEFAULTED TO SALINE. IT IS ALSO NOT KNOWN WHICH DEVICE WERE ROUND OR ANATOMICAL IN SHAPE OR TEXTURED VS. NON-TEXTURED OR THE MANUFACTURER ASSOCIATED WITH THOSE PROVIDED PARAMETERS. ARTICLE CITATION: HUYGHEBAERT, T.A., WALLNER, C. & MONTEMURRO, P. IMPLEMENTATION OF A MACHINE LEARNING APPROACH EVALUATING RISK FACTORS FOR COMPLICATIONS AFTER SINGLE-STAGE AUGMENTATION MASTOPEXY. AESTH PLAST SURG (2024). HTTPS://DOI.ORG/10.1007/S00266-024-04142-7. AUTHORS AND AFFILIATIONS: DEPARTMENT OF PLASTIC SURGERY, BG UNIVERSITY HOSPITAL BERGMANNSHEIL, RUHR UNIVERSITY BOCHUM, BÜRKLE-DE-LA-CAMP PLATZ 1, 44789, BOCHUM, GERMANY TOM ALEXANDER HUYGHEBAERT & CHRISTOPH WALLNER. AKADEMIKLINIKEN, STORÄNGSVÄGEN 10, 11541, STOCKHOLM, SWEDEN PAOLO MONTEMURRO. THE EVENTS OF CAPSULAR CONTRACTURE, SEROMA, INFECTION AND MIGRATION ARE PHYSIOLOGICAL COMPLICATION AND ANALYSIS OF THE DEVICE GENERALLY DOES NOT ASSIST ALLERGAN IN DETERMINING A PROBABLE CAUSE FOR THESE EVENTS. 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: CAPSULAR CONTRACTURE, SEROMA-LATE, INFECTION (UNKNOWN ONSET) AND MIGRATION (ROTATION, BOTTOMING OUT).

Description of Event or Problem · 0

LITERATURE ARTICLE, "IMPLEMENTATION OF A MACHINE LEARNING APPROACH EVALUATING RISK FACTORS FOR COMPLICATIONS AFTER SINGLE-STAGE AUGMENTATION MASTOPEXY", DETAILED A RETROSPECTIVE DATA ANALYSIS OF THE FOLLOWING POST-OPERATIVE COMPLICATIONS; ROTATION, CAPSULAR CONTRACTURE(UNKNOWN GRADE), BOTTOMING OUT, SEROMA, HEMATOMA, DOUBLE BUBBLE, INFECTION, 2 PATIENTS EXPERIENCED BOTH CAPSULAR CONTRACTURE AND POSTOPERATIVE HEMATOMA. DEVICE STATUS IS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
253757 UNK MAMMARY IMPLANT PROSTHESIS, BREAST, INFLATABLE, INTERNAL, SALINE FWM ALLERGAN (COSTA RICA) NI

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention