FDA Adverse Event
Death
Summary report: N
SILTEX LOW BLEED GEL
MDR report key: 305548
·
Received November 16, 2000
Report
- Report Number
- 1645337-2000-00013
- Event Type
- Death
- Date Received
- November 16, 2000
- Date of Event
- July 9, 2000
- Report Date
- October 19, 2000
- Manufacturer
- MENTOR
- Product Code
- FTR
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
THE PT WAS IMPLANTED WITH BILATERAL SILTEX LOW BLEED GEL-FILLED MAMMARY PROSTHESES IN 2000 FOR RECONSTRUCTION OF THEIR BREASTS. IN 2000, THE PT DEVELOPED AN INFECTION. CULTURE RESULTS WERE POSITIVE FOR STAPH AUREUS. THE DEVICES WERE REMOVED IN 2000. THE PT LATER DIED IN 2000 DUE TO SEPTIC SHOCK (TOXIC SHOCK SYNDROME) AND MULTIPLE ORGAN FAILURE.
Description of Event or Problem · 1
THE PT WAS IMPLANTED WITH BILATERAL SILTEX LOW BLEED GEL-FILLED MAMMARY PROSTHESES IN 2000 FOR AUGMENTATION (NOT RECONSTRUCTION AS PREVIOUSLY REPORTED).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SILTEX LOW BLEED GEL | MAMMARY PROSTHESIS | FTR | MENTOR | * | 186538 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 48 YR | Death |