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