FDA Adverse Event Injury Summary report: N

UNK GEL BREAST IMPLANT

MDR report key: 22376354 · Received July 1, 2025

Report

Report Number
9617229-2025-10966
Event Type
Injury
Date Received
July 1, 2025
Date of Event
December 21, 2024
Report Date
July 1, 2025
Manufacturer
MANUFACTURER UNKNOWN
Product Code
FTR
PMA / PMN Number
P020056
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

FURTHER INFORMATION FROM THE REPORTER REGARDING EVENT, PRODUCT, OR PATIENT DETAILS HAS BEEN/WILL BE REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. THE REASON(S) FOR REOPERATION IS/ARE: "LEFT BREAST DEMONSTRATED A MORE SUSPICIOUS PATTERN OF NODULAR PERIPHERAL ENHANCEMENT WITH PERI-IMPLANT EFFUSION AND BENIGN CAPSULAR TISSUE ON THE LEFT." THE REPORTED EVENT OF SEROMA IS A PHYSIOLOGICAL COMPLICATION AND ANALYSIS OF THE DEVICE GENERALLY DOES NOT ASSIST ALLERGAN IN DETERMINING A PROBABLE CAUSE FOR THIS EVENT. ARTICLE CITATION: MAIMONE, SANTO ET AL. ¿PERI-IMPLANT ENHANCEMENT OF THE BREAST: IMAGING FEATURES, SIGNIFICANCE, AND MANAGEMENT STRATEGIES.¿ JOURNAL OF BREAST IMAGING VOL. 7,3 (2025): 301-310. DOI:10.1093/JBI/WBAE084.

Description of Event or Problem · 0

THROUGH JOURNAL ARTICLE "PERI-IMPLANT ENHANCEMENT OF THE BREAST: IMAGING FEATURES, SIGNIFICANCE, AND MANAGEMENT STRATEGIES", "A 57-YEAR-OLD WOMAN WITH TEXTURED SILICONE IMPLANTS IN PLACE FOR 29 YEARS [...] REPORTED "THE LEFT BREAST DEMONSTRATED A MORE SUSPICIOUS PATTERN OF NODULAR PERIPHERAL ENHANCEMENT WITH PERI-IMPLANT EFFUSION", "CAPSULECTOMY DEMONSTRATED BENIGN CAPSULAR TISSUE ON THE LEFT." THE DEVICE STATUS IS UNKNOWN. THIS RELATED TO THE LEFT SIDE DEVICE. MANUFACTURER OF DEVICE IS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1270352 UNK GEL BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR MANUFACTURER UNKNOWN NI

Patients

Seq Age Sex Outcome Treatment
1 57 YR Female Required Intervention