FDA Adverse Event Malfunction Summary report: N

IDEAL IMPLANT STRUCTURED BREAST IMPLANT

MDR report key: 5415044 · Received February 6, 2016

Report

Report Number
3011491947-2016-00001
Event Type
Malfunction
Date Received
February 6, 2016
Date of Event
October 8, 2015
Report Date
April 9, 2019
Manufacturer
IDEAL IMPLANT
Product Code
FWM
UDI-DI
10851795006060
PMA / PMN Number
P120011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING UPDATES WERE MADE TO THE REPORT: OUTCOMES ATTRIBUTED TO ADVERSE EVENT, DATE OF THIS REPORT, MANUFACTURER NAME, CITY AND STATE, CONTACT OFFICE: NAME/ADDRESS/PHONE NUMBER, TYPE OF REPORT, IF FOLLOW-UP, WHAT TYPE, UNCHECKED EVALUATION SUMMARY ATTACHED, EVENT PROBLEM AND EVALUATION CODES, AND ADDITIONAL NARRATIVES/DATE. EVALUATION SUMMARY WAS REMOVED AS AN ATTACHMENT. THE EVALUATION SUMMARY IS AS FOLLOWS: MACROSCOPIC AND MICROSCOPIC EXAMINATION OF THE EXPLANTED DEVICE REVEALED THAT THE POSTERIOR VALVE-PATCH BOND WAS DEFECTIVE, CAUSING INNER LUMEN LEAK AND DEFLATION. THE DEFECTIVE BOND RESULTED FROM INADEQUATE VULCANIZATION WHEN MANUFACTURING.

Description of Event or Problem · 0

DEFLATION RESULTING IN EXPLANTATION.

Additional Manufacturer Narrative · 1

THERE WERE NO DEATHS OR CONGENITAL ANOMALY/BIRTH DEFECTS ASSOCIATED WITH THIS ADVERSE EVENT.

Additional Manufacturer Narrative · 1

IDEAL IMPLANT DID NOT SUBMIT THIS MDR WITHIN 30 DAYS OF BECOMING AWARE OF THE INCIDENT FOR THE FOLLOWING REASONS. PER THE FDA REGULATIONS FOR REPORTABLE EVENTS, A SERIOUS INJURY IS ONE THAT: IS LIFE THREATENING; RESULTS IN PERMANENT IMPAIRMENT OF A BODY FUNCTION OR PERMANENT DAMAGE TO A BODY STRUCTURE, OR; NECESSITATES MEDICAL OR SURGICAL INTERVENTION TO PRECLUDE PERMANENT IMPAIRMENT OF A BODY FUNCTION OR PERMANENT DAMAGE TO A BODY STRUCTURE. PER THE DEFINITION NOTED ABOVE, IDEAL IMPLANT INCORPORATED UNDERSTOOD THAT A COMMON SALINE BREAST IMPLANT DEFLATION WOULD NOT FALL WITHIN THE DEFINITION OF SERIOUS INJURY AND WOULD THEREFORE NOT BE CONSIDERED REPORTABLE. ALTHOUGH SURGICAL INTERVENTION MAY BE PERFORMED TO REMOVE AND/OR REPLACE THE BREAST IMPLANT, IT IS NOT MEDICALLY REQUIRED TO PRECLUDE PERMANENT IMPAIREMENT OF A BODY FUNCTION OR PERMANENT DAMAGE TO A BODY STRUCTURE. IMPLANTS ARE FILLED WITH NORMAL SALINE, WHICH IS HARMLESSLY ABSORBED BY THE BODY. A DEFLATION POSES MINIMAL RISK TO THE PATIENT AND IS NOT CONSIDERED SERIOUS IN THE ABSENCE OF AN ADDITIONAL SERIOUS CONDITION, SUCH AS EXTRUSION, TISSUE NECROSIS, SEPSIS, LYMPHOMA (ALCL), NEUROLOGIC PROBLEM, BREAST MASS, POSSIBLE AFFECT ON FETUS, ETC. BECAUSE A DEFLATION, ABSENT OF AN ADDITIONAL SERIOUS PATIENT CONDITION, DOES NOT POSE RISK TO THE PATIENT OF DEATH OR SERIOUS INJURY, IDEAL IMPLANT DID NOT CONSIDER DEFLATION OR SURGERY TO REMOVE A DEFLATED IMPLANT TO BE A "SURGICAL INTERVENTION TO PRECLUDE PERMANENT IMPAIRMENT OF A BODY FUNCTION OR PERMANENT DAMAGE TO A BODY STRUCTURE." A DEFLATION OR OTHER TYPE OF DEVICE MALFUNCTION, IN WHICH A SERIOUS INJURY, SERIOUS CONDITION OR DEATH IS REPORTED AS A CONSEQUENCE, WOULD BE CONSIDERED REPORTABLE. HOWEVER, DURING A RECENT FDA INSPECTION PERFORMED 2/1/16-2/3/16, AN OBSERVATION WAS MADE THAT THIS DEFLATION SHOULD HAVE BEEN REPORTED TO THE FDA. UPON LEARNING THAT FDA CONSIDERS ANY DEFLATION THAT WAS EXPLANTED TO BE REPORTABLE, IDEAL IMPLANT BEGAN SUBMITTING REPORTS FOR PAST DEFLATIONS AND WILL CONTINUE TO REPORT ALL INSTANCES OF EXPLANTED DEFLATIONS IN THE FUTURE.

Description of Event or Problem · 1

DEFLATION RESULTING IN EXPLANTATION.

Description of Event or Problem · 1

DEFLATION RESULTING IN EXPLANTATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
73396 IDEAL IMPLANT STRUCTURED BREAST IMPLANT SALINE-FILLED BREAST IMPLANT FWM IDEAL IMPLANT 40501 61030 10851795006060

Patients

Seq Age Sex Outcome Treatment
1 20 YR Congenital Anomaly| D| R