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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Allergan (Costa Rica) Inspira Smooth Cohesive Silicone Gel Filled Breast Implant; prosthesis, breast, noninflatable, internal, silicone gel-filled

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Allergan (Costa Rica) Inspira Smooth Cohesive Silicone Gel Filled Breast Implant; prosthesis, breast, noninflatable, internal, silicone gel-filled Back to Search Results
Catalog Number SCX-650
Medical Device Problem Code Material Rupture (1546)
Health Effect - Clinical Code Seroma (2069)
Type of Reportable Event Serious Injury
Event or Problem Description
Healthcare professional reported via national breast implant registry (nbir) "seroma, suspected/actual rupture/deflation".This record is for the left side.The device was explanted.
 
Additional Manufacturer Narrative
The event of "seroma" is a physiological complication and analysis of the device generally does not assist allergan in determining a probable cause for this event.No contact information was provided for the initial reporter, therefore additional event, product, and/or patient details are not attainable.Reason for reoperation: seroma and rupture.
 
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Brand Name
Inspira Smooth Cohesive Silicone Gel Filled Breast Implant
Common Device Name
prosthesis, breast, noninflatable, internal, silicone gel-filled
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
+1(847)936-6324
MDR Report Key50059677
Report Number9617229-2026-14273
Device Sequence Number21496917
Product Code FTR
UDI-Device Identifier10888628030398
UDI-Public(01)10888628030398(17)Unknown
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
P020056
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue NumberSCX-650
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 07/02/2026
Initial Report FDA Received Date07/28/2026
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
Outcome Attributed to Adverse Event Required Intervention;
Patient SexFemale
Patient Weight203 LB
Patient RaceWhite
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