BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NATRELLE

    MDR report key: 4143238 · Received September 19, 2014

    Report

    Report Number
    4143238
    Event Type
    Malfunction
    Date Received
    September 19, 2014
    Date of Event
    April 22, 2014
    Report Date
    August 19, 2014
    Manufacturer
    ALLERGAN, INC.
    Product Code
    FWM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    583356 NATRELLE PROSTHESIS, BREAST, INFLATABLE, INTERNAL, SALINE FWM ALLERGAN, INC. * 1533316

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR