FDA Adverse Event Injury Summary report: N

9614385-2007-00002

MDR report key: 820617 · Received January 22, 2007

Report

Report Number
9614385-2007-00002
Event Type
Injury
Date Received
January 22, 2007
Product Code
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Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

ORIGINAL SURGERY WAS PERFORMED IN 1998 USING HUTCHISON HSL 0300 SALINE-FILLED IMPLANTS, WHICH WERE FILLED TO A VOLUME OF 0350CC (LEFT ) & 0350CC (RIGHT), WHICH IS WITHIN THE MAXIMUM FILL VOLUME LIMITS. PATIENT UNDERWENT BILATERAL REPLACEMENT SURGERY IN 2006. THE IMPLANTS WERE REPLACED WITH MENTOR DEVICES. VISUAL INSPECTION IDENTIFIED A BREACH ON THE PERIPHERY OF THE PRODUCT MEASURING APPROXIMATELY 18MM IN LENGTH, WHICH IS LOCATED ON THE 12 O'CLOCK POSITION (WHEN THE PRODUCT WAS HELD IN SUCH A POSITION THAT THE BRAND NAME WAS UPRIGHT AND HORIZONTAL). PRESSURE TESTING COULD NOT BE COMPLETED DUE TO THE SIZE AND POSITION OF THE BREACH. MICROSCOPIC EXAMINATION (X10) OF THE BREACH IDENTIFIED A CLEAR INITIATION POINT AND WELL DEFINED EDGES WHICH ARE INDICATIVE OF MECHANICAL TRAUMA. THE PRODUCT MET ALL MANUFACTURING AND QUALITY SPECIFICATIONS POST MFR. THE BREACH IS NOT A MANUFACTURING FAULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ---

Patients

Seq Age Sex Outcome Treatment
1