NATRELLE BREAST IMPLANTS SRX-400

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-15 for NATRELLE BREAST IMPLANTS SRX-400 manufactured by Allergan Inc..

Event Text Entries

[111443454] I had allergan natrelle inspira implants inserted on (b)(6) 2017. On (b)(6) 2018, my plastic surgeon confirmed that my breast implants have bottomed out. I got my implants less than eight months ago. I called allergan and was told that my warranty does not cover bottoming out of breast implants.
Patient Sequence No: 1, Text Type: D, B5


[137504816] This submission is a follow-up to access number mw5077898. Friday, (b)(6): breast augmentation revision with dr. (b)(6) in (b)(6). Switched from allergan natrelle inspira 400 ml silicone gel implant, style srx-400, to sientra 300 ml smooth round ge. Total fees paid to dr. (b)(6), surgical center fees: (b)(6), anesthesia fees: (b)(6). Total fees: (b)(6). Following my surgery on (b)(6), dr. (b)(6) informed me that my left breast implant had completely ruptured. Background: dr. (b)(6) performed submuscular breast augmentation on me at (b)(6) hospital on (b)(6) 2017. He inserted natrelle inspira style srx 400 smooth round xtra-full projection silicone breast implants. Total cost: (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077898
MDR Report Key7609535
Date Received2018-06-15
Date of Report2018-06-14
Date of Event2018-06-12
Date Added to Maude2018-06-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameNATRELLE BREAST IMPLANTS
Generic NameSIZER, MAMMARY, BREAST IMPLANT VOLUME
Product CodeFTR
Date Received2018-06-15
Model NumberSRX-400
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerALLERGAN INC.

Device Sequence Number: 1

Brand NameALLERGAN NATRELLE INSPIRA 400ML SILICONE BREAST GEL IMPLANTS
Generic NameSIZER, MAMMARY, BREAST IMPLANT VOLUME
Product CodeMRD
Date Received2018-06-15
Model NumberSRX-400
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerALLERGAN INC.

Device Sequence Number: 2

Brand NameNATRELLE BREAST IMPLANTS
Generic NameSIZER, MAMMARY, BREAST IMPLANT VOLUME
Product CodeMRD
Date Received2018-06-15
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerALLERGAN INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2018-06-15

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