BEUDAMED
    FDA Adverse Event Death Summary report: N

    BREAST IMPLANTS

    MDR report key: 480782 · Received August 24, 2003

    Report

    Report Number
    MW1029367
    Event Type
    Death
    Date Received
    August 24, 2003
    Date of Event
    January 27, 1987
    Report Date
    August 24, 2003
    Manufacturer
    *
    Product Code
    FWM
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    PT DIED FROM RESPIRATORY FAILURE AFTER SUDDEN MYSTERIOUS CONDITION WHICH INCLUDED PNEUMONIA AND LUPUS, ALONG WITH MANY OTHER COMPLICATIONS THAT KILLED THEM WITHIN A YEAR. THEY HAD BREAST IMPLANTS IN THE MID 1970'S.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BREAST IMPLANTS BREAST IMPLANTS FWM * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Death