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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALLERGAN (COSTA RICA) NATRELLE INSPIRA X-FULL 750CC SSZ US; SIZER, MAMMARY, BREAST IMPLANT VOLUME

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ALLERGAN (COSTA RICA) NATRELLE INSPIRA X-FULL 750CC SSZ US; SIZER, MAMMARY, BREAST IMPLANT VOLUME Back to Search Results
Catalog Number SSZ-X750
Medical Device Problem Code Difficult to Open or Remove Packaging Material (2922)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/15/2025
Type of Reportable Event Malfunction
Event or Problem Description
Healthcare professional reported "did not peel smoothly, were hard to get sizers out of containers, left part of paper on sterile lids, and lids of outer container shredded and left paper film" device was not implanted.
 
Additional 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.Reason for reoperation: tyvek or thermoform sticking.
 
Additional Manufacturer Narrative
A review of the device history record has been completed.No deviations or non-conformances noted.Additional, changed, and/or corrected data: a2, a4, a5, a6.
 
Event or Problem Description
Healthcare professional reported "did not peel smoothly, were hard to get sizers out of containers, left part of paper on sterile lids, and lids of outer container shredded and left paper film" device was not implanted.
 
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Brand Name
NATRELLE INSPIRA X-FULL 750CC SSZ US
Common Device Name
SIZER, MAMMARY, BREAST IMPLANT VOLUME
Manufacturer (Section D)
ALLERGAN (COSTA RICA)
900 parkway global park
zona franca
la aurora de heredia
CS 
Manufacturer (Section G)
ALLERGAN (COSTA RICA)
900 parkway global park
zona franca
la aurora de heredia
CS  
Manufacturer Contact
terry ingram
2525 dupont drive
irvine, CA 92612
8479366324
MDR Report Key22965390
Report Number9617229-2025-15013
Device Sequence Number13046833
Product Code MRD
UDI-Device Identifier10888628045965
UDI-Public(01)10888628045965(10)1306694(11)250611(17)300511
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
K203229
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 10/31/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue NumberSSZ-X750
Device Lot Number1306694
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 08/15/2025
Supplement Date Received by Manufacturer10/14/2025
Initial Report FDA Received Date09/04/2025
Supplement Report FDA Received Date10/31/2025
Date Device Manufactured06/11/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient Age50 YR
Patient SexFemale
Patient Weight102 KG
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