FDA Adverse Event Injury Summary report: N

INSPIRA SMOOTH COHESIVE SILICONE GEL FILLED BREAST IMPLANT

MDR report key: 22862763 · Received August 21, 2025

Report

Report Number
9617229-2025-14271
Event Type
Injury
Date Received
August 21, 2025
Date of Event
July 29, 2025
Report Date
January 12, 2026
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
UDI-DI
10888628029927
PMA / PMN Number
P020056
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL, CHANGED, AND/OR CORRECTED DATA: B5, D6B, H6.

Additional Manufacturer Narrative · 0

LAB ANALYSIS: PER THE INVESTIGATION PROCEDURE, THE DEVICE IS ANALYZED THROUGH VISUAL INSPECTION MICROSCOPIC INSPECTION IF OPENINGS ARE OBSERVED AND A WEIGHT VERIFICATION. PER THE ANALYSIS PERFORMED, THE ASSESSMENTS OF THE COMPLAINTS AND ANY POTENTIAL MANUFACTURING ISSUE ARE DISPLAYED ALONG WITH ANY FURTHER ACTIONS REQUIRED: ¿ CAPSULAR CONTRACTURE: UNABLE TO OBSERVE THROUGH VISUAL INSPECTION AS IT IS A PHYSIOLOGICAL PHENOMENON. NONE OF THE OTHER OBSERVATIONS PERFORMED DURING THE DEVICE ANALYSIS (DEFORMATION, CREASES, WEAR ABRASION) ARE FOUND TO BE POTENTIALLY RELATED TO THE MANUFACTURING PROCESS, AND, THEREFORE, NO FURTHER ACTIONS ARE REQUIRED FOR THESE OBSERVATIONS.

Additional Manufacturer Narrative · 0

CONTINUED E1(B)(6). A REVIEW OF THE DEVICE HISTORY RECORD HAS BEEN COMPLETED. NO DEVIATIONS OR NON-CONFORMANCES NOTED. 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/WILL BE REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. REASON FOR REOPERATION: CAPSULAR CONTRACTURE, BAKER GRADE III/IV.

Description of Event or Problem · 0

DEVICE WAS EXPLANTED.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED LEFT SIDE CAPSULAR CONTRACTURE, BAKER GRADE III/IV; ULTRASOUND PERFORMED. DEVICE WAS EXPLANTED AND RETURNED. PATIENT RECEIVED VITAMIN E, MSM SUPPLEMENT, AND SINGULAIR(¿) AS TREATMENT.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED LEFT SIDE CAPSULAR CONTRACTURE, BAKER GRADE III/IV; ULTRASOUND PERFORMED. THE DEVICE REMAINS IMPLANTED. PATIENT RECEIVED VITAMIN E, MSM SUPPLEMENT, AND SINGULAIR(¿) AS TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
466613 INSPIRA SMOOTH COHESIVE SILICONE GEL FILLED BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) 1208076 10888628029927

Patients

Seq Age Sex Outcome Treatment
1 67 YR Female Required Intervention