UNK *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-10-21 for UNK * manufactured by Unk.

Event Text Entries

[74541] Exchange of rt breast implant.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number127911
MDR Report Key127911
Date Received1997-10-21
Date of Report1997-10-20
Date of Event1997-10-17
Date Facility Aware1997-10-17
Report Date1997-10-20
Date Added to Maude1997-10-27
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameUNK
Generic NameBREAST IMPLANT
Product CodeFWN
Date Received1997-10-21
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorOTHER
Device AvailabilityY
Device AgeUNKNOWN
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key125151
ManufacturerUNK
Manufacturer AddressUNK UNK *


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1997-10-21

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