| Brand Name | Inspira Textured 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 Key | 50625533 |
| Report Number | 9617229-2026-16947 |
| Device Sequence Number | 13440309 |
| Product Code |
FTR
|
| UDI-Device Identifier | 10888628034310 |
| UDI-Public | (01)10888628034310(17)210610 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | P020056 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2017 |
| Device Explanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Consumer,Health Professional |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/21/2026 |
| 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 Date | 06/10/2021 |
| Device Catalogue Number | N-TSX340 |
| Device Lot Number | 2923279 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | Not provided |
| Supplement Date Received by Manufacturer | 09/11/2026
|
| Initial Report FDA Received Date | 09/05/2026 |
| Supplement Report FDA Received Date | 09/21/2026
|
| Date Device Manufactured | 06/10/2016 |
| 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 Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Female |