BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAMMARY PROSTHESIS

    MDR report key: 255510 · Received December 21, 1999

    Report

    Report Number
    255510
    Event Type
    Injury
    Date Received
    December 21, 1999
    Date of Event
    November 16, 1999
    Report Date
    November 16, 1999
    Manufacturer
    HEYER-SCHULTE CORP
    Product Code
    FTR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    LEFT BREAST IMPLANT DEFLATION RESULTING IN BREAST ASSYMETRY FOLLOWING IMPLANTATION NOV., 1983.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAMMARY PROSTHESIS Implant MAMMARY PROSTHESIS FTR HEYER-SCHULTE CORP * *

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Hospitalization