FDA Adverse Event Injury Summary report: N

INSPIRA TEXTURED SILICONE GEL FILLED BREAST IMPLANT

MDR report key: 24719394 · Received March 30, 2026

Report

Report Number
9617229-2026-05554
Event Type
Injury
Date Received
March 30, 2026
Date of Event
February 15, 2023
Report Date
March 27, 2026
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
PMA / PMN Number
P020056
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS IS A FOLLOW-UP REPORT TO A MEDWATCH SUBMITTED UNDER MANUFACTURER REPORT NUMBER: 9617229-2023-15451. CLARIFICATION TO B3 DATE OF EVENT: PARTIAL DATE FEBRUARY 2023. CLARIFICATION TO D1-D4 DEVICE INFORMATION: DEVICE INFORMATION FOR BOTH SIDES WAS PROVIDED, BUT IT IS UNKNOWN WHICH DEVICE BELONGS TO WHICH SIDE. A PARTIAL CATALOG NUMBER HAS BEEN POPULATED IN THE RECORD AS IT IS THE ONLY MATCHING INFORMATION FOR BOTH DEVICES: DEVICE 1: INSPIRA TSF; SERIAL NUMBER: (B)(6); LOT NUMBER: 2923361 AND CATALOG NUMBER: N-TSF325. DEVICE 2: INSPIRA TSF; SERIAL NUMBER: (B)(6); LOT NUMBER: 2967071 AND CATALOG NUMBER: N-TSF345. CONTINUED E.1. PHONE NUMBER: (B)(6). 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: RUPTURE.

Description of Event or Problem · 0

HEALTHCARE PROFESSIONAL REPORTED LEFT SIDE "RUPTURE." HEALTHCARE PROFESSIONAL LATER REPORTED "MASTALGIA AND BREAST ASYMMETRY", ¿BECAME BIG¿, AND ¿FELL AS LITTLE STONE.¿ THE EVENTS OF ¿SIMPLE CYSTS, REGULAR AND WITHOUT CONTRAST ENHANCEMENT, SMALLER THAN 3 MM¿, ¿SOLID NODULE" ARE NOT DEVICE RELATED. DEVICE REMAINS IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
774693 INSPIRA TEXTURED SILICONE GEL FILLED BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) NI

Patients

Seq Age Sex Outcome Treatment
1 33 YR Female Required Intervention