BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BREAST IMPLANT

    MDR report key: 24581559 · Received March 11, 2026

    Report

    Report Number
    MW5185125
    Event Type
    Malfunction
    Date Received
    March 11, 2026
    Report Date
    March 10, 2026
    Manufacturer
    UNK
    Product Code
    FTR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    IN COMPLIANCE WITH MDR REPORTING REGULATION, SECTION 803.22, WE WISH TO INFORM YOU OF AN ADVERSE EVENT ASSOCIATED WITH ANOTHER MANUFACTURER'S DEVICE WHICH HAS BEEN RECEIVED AT ALLERGAN INC. ((B)(6) REF (B)(4)). HEALTHCARE PROFESSIONAL REPORTED RIGHT SIDE ¿RUPTURE/DEFLATION¿ OF A NON-(B)(6) DEVICE. DEVICE WAS EXPLANTED. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2). PT CODE: 4582. DEVICE CODE: 1546. REF REPORT: MW5185124.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    637690 BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown