BEUDAMED
    FDA Adverse Event Other Summary report: N

    REPLICON

    MDR report key: 83582 · Received February 9, 1995

    Report

    Report Number
    83582
    Event Type
    Other
    Date Received
    February 9, 1995
    Date of Event
    July 7, 1994
    Report Date
    July 18, 1994
    Manufacturer
    NATURAL SURGICAL SPECIALTIES
    Product Code
    FTR
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT ELECTED TO HAVE IMPLANTS REMOVED DUE TO PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 REPLICON Implant MAMMARY PROSTHESIS FTR NATURAL SURGICAL SPECIALTIES * CONTROL # L-9220325

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Other