NATRELLE SMOOTH MODERATE HIGH TISSUE EXPANDER 400CC 133 SMX-12-T

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-23 for NATRELLE SMOOTH MODERATE HIGH TISSUE EXPANDER 400CC 133 SMX-12-T manufactured by Allergan.

Event Text Entries

[185243668] Reporter stated that she received a tissue expander after a mastectomy on (b)(6) 2019. She alleged that she was not provided any assistance after discharge and was sent home with a hematoma. Within a few days she had blue and purple swelling on her entire chest area. She went back for a f/u and was seen bu and pa and not the dr. She was told that she would need to "clean up the edges and drain blood from the site". She stated that they completely opened her up and removed 2. 5in of skin. She reported that it was as if she had 2 surgeries in 4 days. Three months later, she went to a different dr and was told that she had a seroma and it needed to be drained. She stated that her incision would not heal, she has had "a lot of complications" and has wasted a lot of money. She insisted that these tissue expanders are not made correctly to fit the human body and that the fda "should do something about it. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093901
MDR Report Key9871707
Date Received2020-03-23
Date of Report2020-03-25
Date of Event2019-11-04
Date Added to Maude2020-03-24
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 Report3

Device Details

Brand NameNATRELLE SMOOTH MODERATE HIGH TISSUE EXPANDER 400CC
Generic NameEXPANDER, SKIN, INFLATABLE
Product CodeLCJ
Date Received2020-03-23
Model Number133 SMX-12-T
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerALLERGAN


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-23

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