FDA Adverse Event Injury Summary report: N

SOFTFORM FACIAL IMPLANT

MDR report key: 288628 · Received August 4, 2000

Report

Report Number
2027148-2000-00044
Event Type
Injury
Date Received
August 4, 2000
Date of Event
May 18, 2000
Report Date
August 4, 2000
Manufacturer
TISSUE TECHNOLOGIES, INC.
Product Code
FTL
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PT IMPLANTED IN UPPER VERMILION BORDER IN 1999. ONSET OF IMPLANT SHORTENING AND BUMPS IN MID YEAR OF 1999. IMPLANT EXPLANTED IN 2000.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SOFTFORM FACIAL IMPLANT SOFTFORM FTL TISSUE TECHNOLOGIES, INC. NA K03958/98H181A

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Required Intervention