FDA Adverse Event Injury Summary report: N

INSPIRA SMOOTH SILICONE GEL FILLED BREAST IMPLANT

MDR report key: 23305155 · Received October 15, 2025

Report

Report Number
9617229-2025-17647
Event Type
Injury
Date Received
October 15, 2025
Date of Event
August 25, 2022
Report Date
October 15, 2025
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
UDI-DI
10888628007406
PMA / PMN Number
P020056
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
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 UNKNOWN A REVIEW OF THE DEVICE HISTORY RECORD HAS BEEN COMPLETED. NO DEVIATIONS OR NON-CONFORMANCES NOTED.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED "CAPSULAR CONTRACTURE". LATER HEALTHCARE PROFESSIONAL REPORTED THERE WAS NO CAPSULAR CONTRACTURE FOR THIS SIDE. LATER, PATIENT REPORTED "THEY ARE A BREAST CANCER PATIENT". LATER, PATIENT'S LEGAL REPRESENTATIVE REPORTED "CAPSULAR CONTRACTURE", "HARDENING" (NDR), "UNCOMFORTABLE FEELING" (NDR), "TIREDNESS, IRRITABILITY, FATIGUE" (NDR), "INADEQUACY AS A WOMAN" (NDR), "HEADACHES" (NDR), "DEPRESSION" (NDR) AND "JOINT PAIN" (NDR). THIS RECORD IS FOR THE RIGHT SIDE. DEVICE WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2289534 INSPIRA SMOOTH SILICONE GEL FILLED BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) 3344461 10888628007406

Patients

Seq Age Sex Outcome Treatment
1 56 YR Female Required Intervention