FDA Adverse Event Injury Summary report: N

UNK STYLE SCX

MDR report key: 23453114 · Received November 3, 2025

Report

Report Number
9617229-2025-18842
Event Type
Injury
Date Received
November 3, 2025
Report Date
November 3, 2025
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
PMA / PMN Number
P020056
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

REASON FOR REOPERATION: DEVICE MIGRATION/IMPLANT MALPOSITION. THE EVENT OF "DEVICE MIGRATION/IMPLANT MALPOSITION" IS A PHYSIOLOGICAL COMPLICATION AND ANALYSIS OF THE DEVICE GENERALLY DOES NOT ASSIST ALLERGAN IN DETERMINING A PROBABLE CAUSE FOR THIS EVENT. NO CONTACT INFORMATION WAS PROVIDED FOR THE INITIAL REPORTER, THEREFORE ADDITIONAL EVENT, PRODUCT, AND/OR PATIENT DETAILS ARE NOT ATTAINABLE.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED ¿DEVICE MIGRATION/IMPLANT MALPOSITION¿ THROUGH THE NATIONAL BREAST IMPLANT REGISTRY (NBIR). THIS RECORD IS FOR THE RIGHT SIDE. DEVICE WAS EXPLANTED AND REPLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1067636 UNK STYLE SCX PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) NI

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention