BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 528679 · Received May 20, 2004

    Report

    Report Number
    MW1032197
    Event Type
    Other
    Date Received
    May 20, 2004
    Date of Event
    May 19, 2004
    Manufacturer
    NA
    Product Code
    FWM
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IMPLANTED ? YEARS AGO. WANTED LARGER SIZE. NO PROBLEMS WITH IMPLANTS.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Other