BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAMMARY IMPLANT

    MDR report key: 26714 · Received October 10, 1995

    Report

    Report Number
    MW1007281
    Event Type
    Injury
    Date Received
    October 10, 1995
    Date of Event
    November 2, 1981
    Report Date
    September 17, 1995
    Manufacturer
    DOW CORNING, PNR
    Product Code
    FTR
    Adverse Event
    Yes
    Report Source
    Voluntary report

    Narratives

    Description of Event or Problem · 1

    BREAST IMPLANT CAUSED SEVERAL MEDICAL PROBLEMS INCLUDING LUPUS, SWOLLEN LIMBS, DIZZINESS, ETC.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAMMARY IMPLANT Implant BREAST IMPLANT FTR DOW CORNING, PNR

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Life Threatening| S