FDA Adverse Event
Injury
Summary report: N
SURGITEK MAMMARY IMPLANT
MDR report key: 36750
·
Received September 3, 1996
Report
- Report Number
- 2182596-1996-00005
- Event Type
- Injury
- Date Received
- September 3, 1996
- Report Date
- August 19, 1996
- Manufacturer
- MEDICAL ENGINEERING CORP.
- Product Code
- FTR
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ALLEGATIONS OF SCLERODERMA, SJOGREN'S SYNDROME, HAIR LOSS, COGNITIVE DYSFUNCTION, MYALGIAS, ARTHRALGIAS, CHRONIC FATIGUE, OBSTRUCTIVE AIRWAY DISEASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SURGITEK MAMMARY IMPLANT Implant | POLYURETHANE-COVERED MAMMARY IMPLANT | FTR | MEDICAL ENGINEERING CORP. | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |