FDA Adverse Event Injury Summary report: N

STYLE 410 COHESIVE SILICONE GEL FILLED BREAST IMPLANT

MDR report key: 8278436 · Received January 25, 2019

Report

Report Number
9617229-2019-00444
Event Type
Injury
Date Received
January 25, 2019
Date of Event
November 26, 2018
Report Date
January 25, 2019
Manufacturer
ALLERGAN (COSTA RICA)
Product Code
FTR
PMA / PMN Number
P040046
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ARTICLE CITATION: E. RIGGIO, E. TOFFOLI AND C. TARTAGLIONE ET AL., LOCAL SAFETY OF IMMEDIATE RECONSTRUCTION DURING PRIMARY TREATMENT OF BREAST CANCER. DIRECT-TO-IMPLANT VERSUS EXPANDER-BASED SURGERY, JOURNAL OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGERY, HTTPS://DOI.ORG/10.1016/J.BJPS.2018.10.016. THE EVENTS OF CAPSULAR CONTRACTURE, NECROSIS, AND FISTULA ARE PHYSIOLOGICAL COMPLICATIONS AND ANALYSIS OF THE DEVICE GENERALLY DOES NOT ASSIST ALLERGAN IN DETERMINING A PROBABLE CAUSE FOR THESE EVENTS. FURTHER INFORMATION FROM THE REPORTER REGARDING EVENT, PRODUCT, OR PATIENT DETAILS HAS BEEN REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. THIS IS A KNOWN POTENTIAL ADVERSE EVENT ADDRESSED IN THE PRODUCT LABELING.

Description of Event or Problem · 1

THROUGH JOURNAL ARTICLE "LOCAL SAFETY OF IMMEDIATE RECONSTRUCTION DURING PRIMARY TREATMENT OF BREAST CANCER. DIRECT-TO-IMPLANT VERSUS EXPANDER-BASED SURGERY" FROM 'JOURNAL OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGERY PP. 1-11' THE FOLLOWING COMPLICATIONS, WHICH DID NOT NECESSITATE REVISION SURGERY, WERE REPORTED: POOR AESTHETIC RESULT, IMPLANT DISPLACEMENT, SKIN INFLAMMATION, SEROMA, RIPPLING ON THE MEDIAL QUADRANTS DUE TO TISSUE THINNING, BREAST PAIN, ALTERATION OF SCAPULAR AND HUMERAL MOVEMENT AND SKIN NECROSIS WITH FISTULA FORMATION. AND THE FOLLOWING COMPLICATIONS, WHICH DID NECESSITATE REVISION SURGERY, WERE REPORTED: POOR AESTHETIC RESULT, IMPLANT ROTATION WITH HYPERCORRECTION OF THE UPPER QUADRANTS, BAKER 2/3, AND IMPLANT MICRO-LEAKAGE DETECTED BY MRI. NO FURTHER TREATMENT INFORMATION OR AFFECTED SIDE WERE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
71380 STYLE 410 COHESIVE SILICONE GEL FILLED BREAST IMPLANT PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL, SILICONE GEL-FILLED FTR ALLERGAN (COSTA RICA) NI

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention