HUTCHISON SMOOTH,LOW 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 2005-05-10 for HUTCHISON SMOOTH,LOW HSL-0340 manufactured by Biosil Ltd.

Event Text Entries

[370975] Deflation of left breast implant. Bilateral exchange with inamed devices.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2320466-2005-00061
MDR Report Key602601
Date Received2005-05-10
Date of Report2005-05-06
Date Facility Aware2005-04-05
Report Date2005-05-06
Date Reported to FDA2005-05-06
Date Reported to Mfgr2005-05-06
Date Added to Maude2005-05-17
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
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
Generic NameSALINE BREAST IMPLANT
Product CodeFWN
Date Received2005-05-10
Returned To Mfg2005-05-06
Model NumberSMOOTH,LOW
Catalog NumberHSL-0340
Lot NumberS-6493-1
ID Number*
OperatorNOT APPLICABLE
Device AvailabilityR
Device AgeUNKNOWN
Implant FlagY
Date RemovedV
Device Sequence No1
Device Event Key592434
ManufacturerBIOSIL LTD
Manufacturer Address127 DEERDYKES ROAD WESTFIELD IND EST CUMBERNAULD GLASGOW *
Baseline Brand NameHUTCHISON
Baseline Generic NameSALINE BREAST IMPLANT
Baseline Model NoSMOOTH,LOW
Baseline Catalog NoHSL-0340
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2005-05-10

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