FDA Adverse Event
Injury
Summary report: N
NATRELLE 410 HIGHLY COHESIVE ANATOMICALLY SHAPED SILICONE FILLED BREAST IMPLANT
MDR report key: 8374329
·
Received February 26, 2019
Report
- Report Number
- MW5084427
- Event Type
- Injury
- Date Received
- February 26, 2019
- Date of Event
- February 6, 2019
- Report Date
- February 22, 2019
- Manufacturer
- ALLERGAN
- Product Code
- FTR
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- RI, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
NIGHT SWEATS, HOT ALL DAY, I¿M FEELING LIKE I¿M GOING THROUGH MENOPAUSE AND I¿M ONLY (B)(6). NO ENERGY, I¿M VERY PHYSICALLY FIT, WORKOUT EVERY DAY, DO 8 MILE WALKS, BOX AND NOW I¿VE BEEN SO TIRED JUST TO GO DO A LITTLE SHOVELING. I¿M WIPED OUT ALL DAY. MY UNDER ARMS, SIDE BREAST ARE ITCHY, SWOLLEN, HURT TO TOUCH OR NOT TOUCH. I DON¿T HAVE A GOOD IMMUNE SYSTEM BECAUSE I HAVE THYROID DISEASE BUT MY LAST TEST, IT¿S BEEN NORMAL THIS WHOLE YEAR. I¿M ON MEDICATION BUT I HAVE GREAT ENERGY, WORKOUT, TAKE CARE OF 3 KIDS AND I¿M IN SCHOOL BUT SINCE I GOT THESE IMPLANTS I¿VE HAD NO ENERGY. IT¿S BEEN AROUND 2-3 MONTHS WITH THESE IMPLANTS AND I GOT THEM FOR HAVING A BREAST CANCER GENE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 162174 | NATRELLE 410 HIGHLY COHESIVE ANATOMICALLY SHAPED SILICONE FILLED BREAST IMPLANT | PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL SILICONE GEL-FILLED | FTR | ALLERGAN | 410CC | FX-410410 | |
| 162175 | NATRELLE 410 HIGHLY COHESIVE ANATOMICALLY SHAPED SILICONE FILLED BREAST IMPLANT | PROSTHESIS, BREAST, NONINFLATABLE, INTERNAL SILICONE GEL-FILLED | FTR | ALLERGAN | 410CC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 32 YR | Other| S |