FDA Adverse Event Malfunction Summary report: N

BREAST IMPLANT

MDR report key: 25149057 · Received May 12, 2026

Report

Report Number
MW5188014
Event Type
Malfunction
Date Received
May 12, 2026
Report Date
May 4, 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)). ALLEGED EVENT: HEALTHCARE PROFESSIONAL REPORTED "EXPLANTED DEVICES ARE TEXTURED" OF A NON-(B)(6) DEVICE. THIS RECORD IS FOR THE LEFT SIDE. DEVICE WAS EXPLANTED. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2). PT: 4580. DEVICE: 3190. REF: MW5188015.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
75923 BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR UNK

Patients

Seq Age Sex Outcome Treatment
1