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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALLERGAN (COSTA RICA) NATRELLE INSPIRA FULLPROF 560CC SSZ US; SIZER, MAMMARY, BREAST IMPLANT VOLUME

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ALLERGAN (COSTA RICA) NATRELLE INSPIRA FULLPROF 560CC SSZ US; SIZER, MAMMARY, BREAST IMPLANT VOLUME Back to Search Results
Catalog Number SSZ-F560
Device Problem Unsealed Device Packaging (1444)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/02/2023
Event Type  Injury  
Event Description
Healthcare professional reported "breast sizer was opened and st noticed that the package was not completely sealed and therefore not sterile".The device was not implanted.
 
Manufacturer Narrative
A review of the device history record has been initiated.If any new, changed or corrected information is noted, a supplemental medwatch will be submitted.Further information from the reporter regarding event, product, or patient details has been requested.No additional information is available at this time.The reason for reoperation: breach of sterile barrier seal.
 
Manufacturer Narrative
Device evaluation: based on the device analysis grid, the assessments of the complaint are: breach of sterile barrier seal: unable to observer since the thermoform is open.No additional observations are performed.No further actions are required as no manufacturing issues are observed.A review of the device history record has been completed.No deviations or non-conformances noted.The review of the documentation associated to the manufacturing process indicates that all devices with lot number 3573213 were released in accordance with abbvie¿s procedures and were no defects/problems/issues found in the documents or in the personnel training related to the reported event.Additionally, no er/ ncr(s) were identified during the investigation associated with this lot and the complaint.According to the complaint review the packages has not been received for analysis in the device analysis laboratory yet.A review of the current risk documents pfmea-bi pkg and lblg (v11.0) was performed and the event of compromised sterility is a known event, for which manufacturing process controls and inspections are stablished to reduce the incidence of this defect.Per evaluation performed in this investigation and appendix c of procedure qpp07-01-002 rev 21.0, this case is not confirmed as high impact complaint, and no further actions are required at this time.During the trend review of all breach of sterile barrier seal complaints for gel breast implant for the period of oct 2021 through sep2023, was noted one outlier in jun 2022.The additional analysis performed shows all that results met the acceptance criteria and no issues, deviations or non-conformances were found which could be associated to the breach of sterile barrier seal event, so, no additional actions are deemed required at this time.The issue with breach of sterile barrier seal will continue to be monitored and corrective action taken in the future if deemed appropriate.Additional, changed, and/or corrected data: d9, e1, h3, h6.
 
Event Description
Healthcare professional reported "breast sizer was opened and st noticed that the package was not completely sealed and therefore not sterile." the device was not implanted.
 
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Brand Name
NATRELLE INSPIRA FULLPROF 560CC SSZ US
Type of Device
SIZER, MAMMARY, BREAST IMPLANT VOLUME
Manufacturer (Section D)
ALLERGAN (COSTA RICA)
900 parkway global park
zona franca
Manufacturer (Section G)
ALLERGAN (COSTA RICA)
900 parkway global park
zona franca
Manufacturer Contact
terry ingram
12331-a riata trace parkway
building 3
austin, TX 78727
8479366324
MDR Report Key17989459
MDR Text Key326319479
Report Number9617229-2023-17229
Device Sequence Number1
Product Code MRD
UDI-Device Identifier10888628045132
UDI-Public10888628045132
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K831566
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 11/28/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/23/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberSSZ-F560
Device Lot Number3573213
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Date Manufacturer Received11/03/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/30/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexFemale
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