FDA Adverse Event Injury Summary report: N

MEME

MDR report key: 395700 · Received May 13, 2002

Report

Report Number
MW1025077
Event Type
Injury
Date Received
May 13, 2002
Date of Event
April 21, 2002
Report Date
May 13, 2002
Manufacturer
BRISTOL MYERS SQUIBB MANUFACTURING
Product Code
FTR
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

ADD'L INFO REC'D FROM PT 8/5/02: REPEAT BONE MARROW ASPIRATION AND BIOPSY.

Description of Event or Problem · 1

ADD'L INFO REC'D FROM MFR 6/20/02: PURSUANT TO TELEPHONE CONVERSATION OF 6/13/02, MFR OFFERS THE FOLLOWING INFO CONCERNING THE REPORT. EVENT FIRST REPORTED TO MFR 5/24/93 VIA LAWSUIT DOCUMENTS. EVENT REPORT TO FDA 5/25/93 AND ASSIGNED FDA ACCESS #M385392. ADDENDUM REPORT SENT TO FDA 6/14/99 REGARDING MEDWATCH REPORT #1016229. MEDICAL ENGINEERING CORP DOES NOT HAVE ANY FURTHER INFO CONCERNING THIS EVENT.

Description of Event or Problem · 1

PLASTIC SURGEON STATED THESE WERE SAFE AND ENDORCED BY THE FDA AS SAFE. HAD TO HAVE ONE REPLACED, IT WAS INFECTED WITH STAPH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MEME SILICONE/POLYURETHANE BREAST IMPLANT FTR BRISTOL MYERS SQUIBB MANUFACTURING * *

Patients

Seq Age Sex Outcome Treatment
1 53 YR Life Threatening| S