INSPIRA SMOOTH SILICONE GEL FILLED BREAST IMPLANT
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
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.
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.
HEALTHCARE PROFESSIONAL REPORTED "OPENED THIS IMPLANT AND THERE WAS A PIECE OF PLASTIC STUCK TO IT¿, NO PATIENT CONTACT. DEVICE WAS NOT IMPLANTED.
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 |