|
Event Type
Injury
Patient Outcome
Other;
|
Event Description
|
Pt alleges her breasts keep hurting under the nipples and has discharge from the nipples due to implants.
|
|
Manufacturer Narrative
|
12/07/99 - sent 1st attempt letter requesting add'l info.
12/21/99 - sent 2nd attempt letter requesting add'l info.
The following dates are estimated.
Only the year is known: a.
2.
Date of birth.
D.
7.
Date implanted.
|
|
Search Alerts/Recalls
|
|
|
Brand Name | GEL-FILLED MMRY IMPLANT UNKNOWN MFR |
Type of Device | MAM IMP GEL-FILLED |
Baseline Device 510(K) Number | |
Baseline Device PMA Number | |
Manufacturer (Section F) |
DOW CORNING CORP. |
1635 n. gleaner rd. |
hemlock MI 48626 |
|
Manufacturer (Section D) |
DOW CORNING CORP. |
1635 n. gleaner rd. |
hemlock MI 48626 |
|
Manufacturer (Section G) |
DOW CORNING CORPORATION |
1635 n. gleanor road |
|
hemlock MI 48626 |
|
Manufacturer Contact |
jan
classens
|
3901 s. saginaw road |
midland
, MI 48640 |
(517)
496
-5140
|
|
Device Event Key | 249057 |
MDR Report Key | 257189 |
Event Key | 241061 |
Report Number | 1816403-1999-00375 |
Device Sequence Number | 1 |
Product Code | FTR |
Report Source |
Manufacturer
|
Source Type |
Consumer
|
Reporter Occupation |
UNKNOWN
|
Type of Report
| Initial |
Report Date |
12/02/1999 |
1 Device Was Involved in the Event | |
1 Patient Was Involved in the Event | |
Date FDA Received | 12/29/1999 |
Is This An Adverse Event Report? |
Yes
|
Is This A Product Problem Report? |
No
|
Device Operator |
NOT APPLICABLE
|
Was Device Available For Evaluation? |
No
|
Is The Reporter A Health Professional? |
No
|
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 12/02/1999 |
Was Device Evaluated By Manufacturer? |
No
|
Is The Device Single Use? |
Yes
|
Is the Device an Implant? |
Yes
|
Is this an Explanted Device? |
|
Type of Device Usage |
Initial
|
|
|
Database last updated on February 28, 2009
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