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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALLERGAN NATRELLE SALINE BREAST IMPLANT; PROSTHESIS, BREAST, INFLATABLE, INTERNAL, SALINE

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ALLERGAN NATRELLE SALINE BREAST IMPLANT; PROSTHESIS, BREAST, INFLATABLE, INTERNAL, SALINE Back to Search Results
Model Number UNKNOWN
Device Problems Migration or Expulsion of Device (1395); Material Rupture (1546); Unintended Movement (3026)
Patient Problems Seroma (2069); Complaint, Ill-Defined (2331); Impaired Healing (2378)
Event Date 01/15/2020
Event Type  Injury  
Event Description
Left implant moved to armpit and it looks like its rolling up as it migrates down my ribcage.The right implant ruptured and the silicon shell is not showing on mammogram or other tests.When i got the implants i had lots of complications too.I had one that was higher and muscle was treated with botox, seromas that would not heal, etc.I am now having problems effecting the nerves in my left hand due to the constantly moving position of the implant.I am really losing some of the best days of life because of the complications of this surgery.Fda safety report id # (b)(4).
 
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Brand Name
NATRELLE SALINE BREAST IMPLANT
Type of Device
PROSTHESIS, BREAST, INFLATABLE, INTERNAL, SALINE
Manufacturer (Section D)
ALLERGAN
MDR Report Key9733154
MDR Text Key180625695
Report NumberMW5093107
Device Sequence Number1
Product Code FWM
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 02/15/2020
2 Devices were Involved in the Event: 1   2  
1 Patient was Involved in the Event
Date FDA Received02/19/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator No Information
Device Expiration Date12/31/2021
Device Model NumberUNKNOWN
Device Catalogue NumberUNKNOWN
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Yes
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Other; Disability;
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