HUTCHISON SALINE MAMMARY IMPLANT SMOOTH ROUND HSL-0340

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-05-04 for HUTCHISON SALINE MAMMARY IMPLANT SMOOTH ROUND HSL-0340 manufactured by Biosil, Ltd.

Event Text Entries

[172229] Deflation of the right breast implant, follow by explantation and replacement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2320466-2000-00033
MDR Report Key276416
Date Received2000-05-04
Date of Report2000-04-18
Date of Event2000-02-17
Date Facility Aware2000-02-17
Report Date2000-04-18
Date Reported to FDA2000-04-18
Date Reported to Mfgr2000-04-18
Date Added to Maude2000-05-09
Event Key0
Report Source CodeDistributor 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 NameHUTCHISON SALINE MAMMARY IMPLANT
Generic NameSALINE BREAST IMPLANT
Product CodeFWN
Date Received2000-05-04
Returned To Mfg2000-04-18
Model NumberSMOOTH ROUND
Catalog NumberHSL-0340
Lot NumberS2590\1
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeUNKNOWN
Implant FlagY
Date RemovedV
Device Sequence No1
Device Event Key267548
ManufacturerBIOSIL, LTD
Manufacturer Address127 DEERDYKES VIEW WESTFIELD IND ESTATES CUMBERNAULD GLASGOW *


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2000-05-04

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