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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MENTOR SILICONE BREAST IMPLANT

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MENTOR SILICONE BREAST IMPLANT Back to Search Results
Model Number 350-1640
Event Type  Injury  
Event Description

Silicone implants causing symptoms such as weakness, as if something is sucking the life out of me, low thyroid, low wbc count, intense joint and muscle pain. I can hardly walk, my knees lock up, and i am only (b)(6), depression at times, due to weakness. Swollen hands, tingling in the hands and arms when i bend my joints. Had frozen shoulder. I feel weak more as time goes by. I have had the implants since 1998, had them removed and put new ones in from mentor back in 2004, before the fda lifted the ban on implants. Apparently mentor did not get the message about a ban on implants. Now all i want is my life back. To be able to walk and have energy again, and hopefully for the arthritis symptoms to diminish.

 
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Brand NameSILICONE BREAST IMPLANT
Type of DeviceSILICONE BREAST IMPLANT
Manufacturer (Section D)
MENTOR
MDR Report Key6568640
Report NumberMW5069787
Device Sequence Number1
Product CodeFTR
Report Source Voluntary
Reporter Occupation PATIENT
Type of Report Initial
Report Date 05/14/2017
2 DeviceS WERE Involved in the Event: 1   2  
1 Patient Was Involved in the Event
Date FDA Received05/14/2017
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator NO INFORMATION
Device MODEL Number350-1640
Device LOT Number5542113
Was Device Available For Evaluation? Yes
Is The Reporter A Health Professional? No Answer Provided
Was the Report Sent to FDA?
Event Location No Information
Was Device Evaluated By Manufacturer?
Is The Device Single Use?
Is this a Reprocessed and Reused Single-Use Device?
Type of Device Usage

Patient TREATMENT DATA
Date Received: 05/14/2017 Patient Sequence Number: 1
Treatment
INSULIN
INSULIN PUMP
IODINE SUPPLEMENT
MINERALS
MULTIVITAMIN
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