FDA Adverse Event Injury Summary report: N

INSPIRA SMOOTH SILICONE GEL FILLED BREAST IMPLANT

MDR report key: 22296122 · Received June 20, 2025

Report

Report Number
9617229-2025-10220
Event Type
Injury
Date Received
June 20, 2025
Date of Event
May 27, 2025
Report Date
August 11, 2025
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
UDI-DI
10888628006942
PMA / PMN Number
P020056
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: BASED ON THE PRODUCT ANALYSIS PERFORMED, THE ASSESSMENTS OF THE COMPLAINT CODES ARE: ¿ FOREIGN MATERIAL: NO OBSERVED ISSUE OR PIECE OF PLASTIC ON THE DEVICE. AS PER THE INVESTIGATION PROCEDURE, CREASES AND DEFORMATION WAS OBSERVED AND NONE OF THE OBSERVATIONS ARE FOUND TO BE POTENTIALLY RELATED TO THE MANUFACTURING PROCESS, NO FURTHER ACTIONS ARE REQUIRED. ADDITIONAL, CHANGED, AND/OR CORRECTED DATA: A4, A5, A6, D9, H3, H6.

Additional Manufacturer Narrative · 0

A REVIEW OF THE DEVICE HISTORY RECORD HAS BEEN COMPLETED. NO DEVIATIONS OR NON-CONFORMANCES NOTED. FURTHER INFORMATION FROM THE REPORTER REGARDING EVENT, PRODUCT, OR PATIENT DETAILS HAS BEEN REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. REASON FOR REOPERATION: FOREIGN MATERIAL ON IMPLANT.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED "OPENED THIS IMPLANT AND THERE WAS A PIECE OF PLASTIC STUCK TO IT¿, NO PATIENT CONTACT. DEVICE WAS NOT IMPLANTED.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED "OPENED THIS IMPLANT AND THERE WAS A PIECE OF PLASTIC STUCK TO IT¿, NO PATIENT CONTACT. DEVICE WAS NOT IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1639470 INSPIRA SMOOTH SILICONE GEL FILLED BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) 1251345 10888628006942

Patients

Seq Age Sex Outcome Treatment
1 NA Female