inforMED
InjuryFMW

NO DEVICE

Received Oct 14, 2024

Report 9617229-2024-22569 · MDR key 20441490

Device

Generic name

Prosthesis, Breast, Inflatable, Internal, Saline

Catalog number

NO DEVICE - BREAST

Lot number

NI

Product problems

  • Device Appears to Trigger Rejection
  • Device Appears to Trigger Rejection

Patient

NA · Female

  • Capsular Contracture
  • Capsular Contracture

Narrative

Additional Manufacturer Narrative

THE EVENT OF "CAPSULAR CONTRACTURE" IS A PHYSIOLOGICAL COMPLICATION AND ANALYSIS OF THE DEVICE GENERALLY DOES NOT ASSIST ALLERGAN IN DETERMINING A PROBABLE CAUSE FOR THIS EVENT. FURTHER INFORMATION FROM THE REPORTER REGARDING EVENT, PRODUCT, OR PATIENT DETAILS HAS BEEN REQUESTED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. REASON FOR REOPERATION: CAPSULAR CONTRACTURE, BAKER GRADE UNKNOWN.

Description of Event or Problem

HEALTHCARE PROFESSIONAL REPORTED "CAPSULAR CONTRACTURE BAKER GRADE UNKNOWN". THIS RECORD IS FOR THE LEFT SIDE. DEVICE REMAINS IMPLANTED.

Additional Manufacturer Narrative

IT HAS BEEN IDENTIFIED THAT THIS RECORD, MRN 9617229-2024-22569, IS A DUPLICATE OF MRN 9617229-2024-24458. PLEASE SEE MRN 9617229-2024-24458 FOR REPORTABLE EVENTS.

Description of Event or Problem

IT HAS BEEN IDENTIFIED THAT THIS RECORD, MRN 9617229-2024-22569, IS A DUPLICATE OF MRN 9617229-2024-24458. PLEASE SEE MRN 9617229-2024-24458 FOR REPORTABLE EVENTS.