FDA Adverse Event Injury Summary report: N

STYLE 410 COHESIVE SILICONE GEL FILLED BREAST IMPLANT

MDR report key: 25032081 · Received April 29, 2026

Report

Report Number
9617229-2026-07864
Event Type
Injury
Date Received
April 29, 2026
Date of Event
March 26, 2026
Report Date
April 29, 2026
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
PMA / PMN Number
P040046
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

FURTHER INFORMATION FROM THE REPORTER REGARDING EVENT, PRODUCT, OR PATIENT DETAILS HAS BEEN/WILL BE REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. THE REASON(S) FOR REOPERATION IS/ARE: SEROMA-LATE AND CAPSULAR CONTRACTURE GRADE III-IV. THE REPORTED EVENT OR EVENTS ARE PHYSIOLOGICAL COMPLICATIONS, AND DEVICE ANALYSIS TYPICALLY DOES NOT HELP ALLERGAN DETERMINE THE CAUSE. CLARIFICATION TO D6A IMPLANT DATE: PATIENT WAS IMPLANTED WITH THIS DEVICE FOR 13 YEARS. CONTINUED E.1. PHONE NUMBER: (B)(6). ARTICLE CITATION: JAEGER, MARIE ET AL. ¿OUTCOME ANALYSIS OF 852 BREAST IMPLANT CHECK ASSESSMENTS: THE ADDED VALUE OF CLINICIAN-OPERATED ULTRASOUND.¿ PLASTIC AND RECONSTRUCTIVE SURGERY. GLOBAL OPEN VOL. 14,3 E7513. 26 MAR. 2026, DOI:10.1097/GOX.0000000000007513.

Description of Event or Problem · 0

LITERATURE REVIEW TITLED "OUTCOME ANALYSIS OF 852 BREAST IMPLANT CHECK ASSESSMENTS: THE ADDED VALUE OF CLINICIAN-OPERATED ULTRASOUND¿ REPORTED ¿SEROMA¿ AND CAPSULAR CONTRACTURE, BAKER GRADE III-IV. THIS RECORD IS FOR THE RIGHT SIDE. DEVICE STATUS UNKNOWN. THIS ARTICLE INVOLVED A 51-YEAR-OLD PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1097255 STYLE 410 COHESIVE SILICONE GEL FILLED BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) NI

Patients

Seq Age Sex Outcome Treatment
1 51 YR Female Required Intervention