BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NATRELLE

    MDR report key: 3861261 · Received May 29, 2014

    Report

    Report Number
    3861261
    Event Type
    Malfunction
    Date Received
    May 29, 2014
    Date of Event
    March 17, 2014
    Report Date
    May 29, 2014
    Manufacturer
    ALLERGAN
    Product Code
    FTR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    317226 NATRELLE PROSTHESIS, BREAST, INFLATABLE, INTERNAL, SALINE FTR ALLERGAN 68MP 1174755

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR