SPECTRUM DESIGNS PECTORAL IMPLANT UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-01-16 for SPECTRUM DESIGNS PECTORAL IMPLANT UNK manufactured by Spectrum Designs Medical.

Event Text Entries

[299729] Spectrum designs medical sold a pair of pectoral implants directly to the reporter, they came in 'sterile' condition. The reporter does not think their implants were properly sterilized and their wounds became infected.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1027294
MDR Report Key438756
Date Received2003-01-16
Date of Report2003-01-16
Date of Event2003-01-08
Date Added to Maude2003-01-23
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 NameSPECTRUM DESIGNS PECTORAL IMPLANT
Generic NameMALE PECTORALIS IMPLANT
Product CodeMIC
Date Received2003-01-16
Returned To Mfg2002-01-13
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Implant FlagY
Date RemovedV
Device Sequence No1
Device Event Key427677
ManufacturerSPECTRUM DESIGNS MEDICAL
Manufacturer Address6387-B ROSE LN. CARPINTERIA CA 93013 US


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2003-01-16

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