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 |