FDA Adverse Event Injury Summary report: N

NATRELLE SILICONE FILLED BREAST IMPLANT

MDR report key: 4251255 · Received November 5, 2014

Report

Report Number
MW5039014
Event Type
Injury
Date Received
November 5, 2014
Date of Event
April 8, 2008
Report Date
November 5, 2014
Manufacturer
ALLERGEN, INC
Product Code
FTR
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

NATRELLE SILICONE FILLED BREAST IMPLANTS LEAKED. I HAVE SINCE BEEN DIAGNOSED WITH SILICONE LYMPHADENOPATHY, LUPUS, AND HAVE HAD TO BE TESTED FOR UNK MASSES WHICH SO FAR HAVE TURNED OUT AS SILICONE FILLED LYMPH NODES...EVEN YEARS AFTER REMOVAL OF IMPLANTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
710430 NATRELLE SILICONE FILLED BREAST IMPLANT BREAST IMPLANT FTR ALLERGEN, INC REF 110-270
710528 NATERELLE SILICONE FILLED BREAST IMPLANT BREAST IMPLANT FTR ALLERGEN, INC REF 110-270

Patients

Seq Age Sex Outcome Treatment
1 28 YR Disability