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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MENTOR SALINE BREAST IMPLANT

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MENTOR SALINE BREAST IMPLANT Back to Search Results
Device Problem Patient-Device Incompatibility (2682)
Patient Problems Arthritis (1723); High Blood Pressure/ Hypertension (1908); Neuropathy (1983); Pain (1994); Swelling (2091); Rupture (2208); Chronic Obstructive Pulmonary Disease (COPD) (2237); Complaint, Ill-Defined (2331); Arthralgia (2355)
Event Date 12/18/1998
Event Type  Injury  
Event Description
I had a saline breast implant rupture (b)(6).On (b)(6) i had neck fusion.Woke up systemically ill and in widespread body pain.Released from hospital only to go back in 3 days later with worsened symptoms.I was near death and couldn't figure out what happened.Bedridden 9 years and on narcotics for pain.Doctors were baffled because lab testing was normal for some time.Then, my ana, c-reactive protein and other tests were elevated.Years later i was diagnosed with copd and for 6 years.It resolved with detoxing and i have residual lung scarring but no asthma or copd.I have seen over 35 doctors through my 18 years of nightmarish hell and have had upward of 20 plus diagnoses.I was on biologic drugs several years without any relief of joint pain or swelling.I now have heart issues, elevated blood pressure, inflammatory arthritis, lyme disease, morgellon's, ulcerative colitis and neuropathy.
 
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Brand Name
SALINE BREAST IMPLANT
Type of Device
SALINE BREAST IMPLANT
Manufacturer (Section D)
MENTOR
MDR Report Key6975814
MDR Text Key90312076
Report NumberMW5072937
Device Sequence Number1
Product Code FWM
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 10/23/2017
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? No
Device Operator No Information
Was Device Available for Evaluation? No
Initial Date Manufacturer Received Not provided
Initial Date FDA Received10/25/2017
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Life Threatening; Other; Disability;
Patient Age65 YR
Patient Weight75
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