BEUDAMED
    FDA Adverse Event Other Summary report: N

    COX UPHOFF BREAST IMPLANT

    MDR report key: 36522 · Received August 27, 1996

    Report

    Report Number
    36522
    Event Type
    Other
    Date Received
    August 27, 1996
    Date of Event
    August 26, 1996
    Report Date
    August 26, 1996
    Manufacturer
    COX UPHOFF
    Product Code
    GBX
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT HAD CAPSULAR CONTRACTURE AND FATIGUE WITH BREAST IMPLANTS AND CHOSE TO HAVE THEM REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COX UPHOFF BREAST IMPLANT Implant BREAST IMPLANT, GEL GBX COX UPHOFF 240CC *

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Other