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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Santa Barbara Style 468 Saline Filled Breast Implant; prosthesis, breast, inflatable, internal, saline

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Santa Barbara Style 468 Saline Filled Breast Implant; prosthesis, breast, inflatable, internal, saline Back to Search Results
Catalog Number 468-350
Medical Device Problem Code Malposition of Device (2616)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/23/2026
Type of Reportable Event Serious Injury
Event or Problem Description
Healthcare professional reported "shifted" and "exchange from textured to smooth".This record is for the left side.The device remains implanted.
 
Additional Manufacturer Narrative
A review of the device history record has been completed.No deviations or non-conformances noted.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: malposition.
 
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Brand Name
Style 468 Saline Filled Breast Implant
Common Device Name
prosthesis, breast, inflatable, internal, saline
Manufacturer (Section D)
Santa Barbara
900 parkway global park zona f
la aurora de heredia
CS 
Manufacturer (Section G)
Santa Barbara
900 parkway global park zona f
la aurora de heredia
CS  
Manufacturer Contact
terry ingram
2525 dupont drive
irvine, CA 92612
+1(847)936-6324
MDR Report Key50093762
Report Number9617229-2026-14433
Device Sequence Number10005822
Product Code FWM
UDI-Device Identifier10888628001121
UDI-Public(01)10888628001121(17)010503
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
P990074
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year1997
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 07/30/2026
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 Expiration Date05/03/2001
Device Catalogue Number468-350
Device Lot Number528912
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 07/07/2026
Initial Report FDA Received Date07/30/2026
Date Device Manufactured06/17/1997
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 Age59 YR
Patient SexFemale
Patient Weight126 LB
Patient RaceWhite
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