BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNK

    MDR report key: 214226 · Received March 9, 1999

    Report

    Report Number
    214226
    Event Type
    Malfunction
    Date Received
    March 9, 1999
    Date of Event
    March 3, 1999
    Report Date
    March 9, 1999
    Manufacturer
    UNK
    Product Code
    FWM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REMOVAL AND REPLACEMENT OF BILATERAL BREAST IMPLANTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK Implant UNK FWM UNK UNK *

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Other