FDA Adverse Event Injury Summary report: N

INSPIRA TEXTURED SILICONE GEL FILLED BREAST IMPLANT

MDR report key: 22414512 · Received July 7, 2025

Report

Report Number
9617229-2025-11230
Event Type
Injury
Date Received
July 7, 2025
Report Date
July 31, 2025
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
UDI-DI
5060191607513
PMA / PMN Number
P020056
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE EVENT OF CAPSULAR CONTRACTURE IS A PHYSIOLOGICAL COMPLICATION AND ANALYSIS OF THE DEVICE GENERALLY DOES NOT ASSIST ALLERGAN IN DETERMINING A PROBABLE CAUSE FOR THIS EVENT. 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: CAPSULAR CONTRACTURE BAKER GRADE IV. A REVIEW OF THE DEVICE HISTORY RECORD HAS BEEN COMPLETED. NO DEVIATIONS OR NON-CONFORMANCES NOTED.

Additional Manufacturer Narrative · 0

CORRECTION TO AWARE DATE OF INITIAL MEDWATCH 9617229-2025-11230-00. AWARE DATE SHOULD HAVE BEEN LISTED AS 10/JUN/2025. ADDITIONAL, CHANGED, AND/OR CORRECTED DATA: A4, H11.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED " TEXTURED TO SMOOTH IMPLANT EXCHANGE". LATER HEALTHCARE PROFESSIONAL REPORTED "CAPSULAR CONTRACTURE BAKER GRADE IV". THIS RECORD IS FOR THE RIGHT SIDE. DEVICE WAS EXPLANTED.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED " TEXTURED TO SMOOTH IMPLANT EXCHANGE". LATER HEALTHCARE PROFESSIONAL REPORTED "CAPSULAR CONTRACTURE BAKER GRADE IV". THIS RECORD IS FOR THE RIGHT SIDE. DEVICE WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2762579 INSPIRA TEXTURED SILICONE GEL FILLED BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) 2293440 5060191607513

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention