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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALLERGAN LAP BAND

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ALLERGAN LAP BAND Back to Search Results
Device Problems Break (1069); Material Erosion (1214)
Patient Problems High Blood Pressure/ Hypertension (1908); Unspecified Infection (1930); Pain (1994); Palpitations (2467)
Event Date 02/10/2016
Event Type  Injury  
Event Description
After having the lap band for 8 years, the port broke through the skin and caused an infection.I had to have surgery to remove the band and drains inserted to remove any additional infection.I was also on medication for pain and the infection.Additionally as the band eroded i developed heart palpitations and elevated blood pressure associated with the erosion.
 
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Brand Name
LAP BAND
Type of Device
LAP BAND
Manufacturer (Section D)
ALLERGAN
MDR Report Key5546929
MDR Text Key41940564
Report NumberMW5061469
Device Sequence Number1
Product Code LTI
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 03/31/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/31/2016
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Other; Required Intervention;
Patient Age40 YR
Patient Weight109
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