FDA Adverse Event
Injury
Summary report: N
STYLE 15 SILICONE GEL FILLED BREAST IMPLANT
MDR report key: 3913234
·
Received June 11, 2014
Report
- Report Number
- 2024601-2014-00330
- Event Type
- Injury
- Date Received
- June 11, 2014
- Date of Event
- December 15, 2011
- Report Date
- March 5, 2013
- Manufacturer
- ALLERGAN
- Product Code
- FTR
- PMA / PMN Number
- P020056
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- NO INFORMATION
Narratives
Additional Manufacturer Narrative · 1
MEDWATCH SUBMITTED ON (B)(6) 2014. DEVICE LABELING REVIEWED. TWO STUDIES IN HUMANS HAVE FOUND THAT THE RISK OF BIRTH DEFECTS OVERALL IS NOT INCREASED IN CHILDREN BORN AFTER BREAST IMPLANT SURGERY,
Description of Event or Problem · 1
PT REPORTED AN EVENT OF "OTHER, NEUROLOGICAL DIAGNOSIS, EPILEPSY." (VARIED INJURIES TO OFFSPRING OF PT) SIDE WAS UNSPECIFIED, THIS RECORD IS FOR THE RIGHT SIDE. SEE MFR 2024601-2014-00329 FOR THE LEFT SIDE .
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 343695 | STYLE 15 SILICONE GEL FILLED BREAST IMPLANT | FTR | ALLERGAN | NA | 1790378 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 30 YR | Congenital Anomaly |