FDA Adverse Event
Injury
Summary report: N
UNK MAMMARY IMPLANT
MDR report key: 3940180
·
Received March 21, 2014
Report
- Report Number
- 2024601-2014-00151
- Event Type
- Injury
- Date Received
- March 21, 2014
- Date of Event
- January 14, 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
"FORMATION OF FIBROUS TISSUE CAPSULE AROUND AN IMPLANTED DEVICE IS A NORMAL PHYSIOLOGICAL RESPONSE". "CONTRACTURE DEVELOPS TO VARYING DEGREES, UNILATERALLY OR BILATERALLY, AND MAY OCCUR WITH WEEKS TO YEARS AFTER SURGERY".
Description of Event or Problem · 1
REPORTED EVENT OF CAPSULAR CONTRACTURE WITHIN 17 PTS FROM JOURNAL ARTICLE: "SKIN REDUCING MASTECTOMY AND IMMEDIATE RECONSTRUCTION: THE EFFECT OF RADIOTHERAPY ON COMPLICATIONS AND PT 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 JANUARY 2014. THIS RECORD ADDRESSES THE RIGHT SIDE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 168462 | UNK MAMMARY IMPLANT | FWM | ALLERGAN | NA | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |