FDA Adverse Event Injury Summary report: N

UNK MAMMARY IMPLANT

MDR report key: 3940176 · Received March 21, 2014

Report

Report Number
2024601-2014-00141
Event Type
Injury
Date Received
March 21, 2014
Date of Event
January 4, 2014
Report Date
February 20, 2014
Manufacturer
ALLERGAN
Product Code
FWM
PMA / PMN Number
P990074
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE LABELING ADDRESSES REPORTED EVENT OF NECROSIS AS FOLLOWS: "NECROSIS MAY INHIBIT WOUND HEALING AND REQUIRE SURGICAL CORRECTION AND/OR EXPLANATION." "PLACEMENT, EXPANSION AND PRESSURE OF THE REMOTE INJECTION SITE MAY INDUCE NECROSIS PARTICULARLY WITH UNSUITABLE SKIN FLAPS."

Description of Event or Problem · 1

REPORTED EVENT OF "T JUNCTION NECROSIS" WITHIN 6 PATIENTS FROM JOURNAL ARTICLE: "SKIN REDUCING MASTECTOMY AND IMMEDIATE RECONSTRUCTION: THE EFFECT OF RADIOTHERAPY ON COMPLICATIONS AND PATIENT REPORTED OUTCOMES", EUROPEAN JOURNAL OF SURGICAL ONCOLOGY: THE JOURNAL OF THE EUROPEAN SOCIETY OF SURGICAL ONCOLOGY AND THE BRITISH ASSOCIATION OF SURGICAL ONCOLOGY, (2014 JAN 22). ELECTRONIC PUBLICATION DATE: 22 JAN 2014. THIS RECORD ADDRESSES THE LEFT SIDE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
168449 UNK MAMMARY IMPLANT FWM ALLERGAN NA NI

Patients

Seq Age Sex Outcome Treatment
1 NI Required Intervention