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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALLERGAN (COSTA RICA) STYLE 133 TISSUE EXPANDER; EXPANDER, SKIN, INFLATABLE

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ALLERGAN (COSTA RICA) STYLE 133 TISSUE EXPANDER; EXPANDER, SKIN, INFLATABLE Back to Search Results
Catalog Number UNK STYLE 133
Device Problems Fluid/Blood Leak (1250); Patient-Device Incompatibility (2682)
Patient Problems Unspecified Infection (1930); Seroma (2069); Skin Inflammation (2443)
Event Type  Injury  
Manufacturer Narrative
Article citation: e.Riggio, e.Toffoli and c.Tartaglione et al., "local safety of immediate reconstruction during primary treatment of breast cancer.Direct-to-implant versus expander-based surgery." journal of plastic, reconstructive & aesthetic surgery, https://doi.Org/10.1016/j.Bjps.2018.10.016.(b)(4).The event of infection (unknown onset), inflammation/irritation, exposure, deflation, seroma, and necrosis are physiological complication and analysis of the device generally does not assist allergan in determining a probable cause for this event.These events are known potential adverse events addressed in the product labeling.
 
Event Description
Through journal article 'local safety of immediate reconstruction during primary treatment of breast cancer.Direct-to-implant versus expander-based surgery' the following complications, which did not necessitate revision surgery, were reported: infection, seroma, wound dehiscence, stretched skin and scar tension, pain in axillary and dorsal regions, skin necrosis, skin inflammation, hematoma and expander displacement (lateral).And the following complications, which did necessitate revision surgery, were reported: infection, skin inflammation, "cxposure" of tissue expander, breakage / damage of tissue expander, recurrent seroma, skin necrosis and severe lateral displacement of expander.No further treatment information or affected side were provided.Device status is currently unknown.
 
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Brand Name
STYLE 133 TISSUE EXPANDER
Type of Device
EXPANDER, SKIN, INFLATABLE
Manufacturer (Section D)
ALLERGAN (COSTA RICA)
900 parkway global park
zona franca
CS 
Manufacturer (Section G)
ALLERGAN (COSTA RICA)
900 parkway global park
zona franca
CS  
Manufacturer Contact
suzanne wojcik
301 w howard lane
suite 100
austin, TX 78753
7372473605
MDR Report Key8199540
MDR Text Key131504739
Report Number9617229-2018-09921
Device Sequence Number1
Product Code LCJ
Combination Product (y/n)N
Reporter Country CodeIT
PMA/PMN Number
K862203
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,l
Reporter Occupation Physician
Type of Report Initial
Report Date 12/27/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/27/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberUNK STYLE 133
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received12/06/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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) Required Intervention;
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