BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SILASTIC TISSUE EXP SCV 200CC

    MDR report key: 214624 · Received March 15, 1999

    Report

    Report Number
    1816403-1999-00102
    Event Type
    Injury
    Date Received
    March 15, 1999
    Manufacturer
    DOW CORNING CORP.
    Product Code
    LCJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    DESCRIPTION OF COMPLAINT STATES TISSUE EXPANDER WAS REMOVED AS IT LEAKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SILASTIC TISSUE EXP SCV 200CC Implant TISSUE EXPANDER LCJ DOW CORNING CORP. P2000200 HH015019

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention