SILICONE INJECTION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1995-03-10 for SILICONE INJECTION manufactured by Unknown.

Event Text Entries

[14894] Rptr had silicone injections. The silicone has formed and is very hard. In 1993 her left breast was burning and causing her a great deal of pain. She has had mammograms, and, due to the silicone injections, the dr is unable to read them to determine if she has cancer. One dr has suggested a plastic surgeon operate and scrape off the silicone. One of her concern is the birth of her son, whom she conceived after the silicone injections.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1005396
MDR Report Key20207
Date Received1995-03-10
Date of Report1995-02-28
Date of Event1994-01-01
Date Added to Maude1995-03-13
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSILICONE INJECTION
Product CodeKGM
Date Received1995-03-10
Device Availability*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key20094
ManufacturerUNKNOWN
Manufacturer Address*


Patients

Patient NumberTreatmentOutcomeDate
10 1995-03-10

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