All models and lot numbers of silicone gel filled breast implants - unapproved composition of silicone gel
(Poly Implant Prothese (PIP)) French medical device regulatory authority (AFSSAPS) found the composition of silicone gel for most breast implants have been different to the one approved since 2001 (MDA/2010/025)
Device
Silicone gel filled breast implants manufactured by Poly Implant Prothese (PIP). All models and lot numbers.
Problem
On Tuesday 30 March 2010 the French medical device regulatory authority (AFSSAPS) informed the MHRA that it has suspended the marketing, distribution, export and the use of silicone gel filled breast implants manufactured by PIP (a French breast implant manufacturer). It has recalled all of these devices.
AFSSAPS recently carried out an inspection of the PIP manufacturing plant and established that most breast implants manufactured by the company since 2001 have been filled with a silicone gel with a composition different from that approved.
The MHRA does not yet know if the use of the unapproved material affects the safety of the implants. We understand that AFSSAPS is carrying out urgent testing and has undertaken to provide further information as soon as it is available.
The MHRA will provide further advice on patient management, as necessary, when more information is available.
Action
Implanting centres
- Do not implant these devices
- Quarantine and return all of these devices to the distributor
GPs
- Advise patients who are concerned about their PIP implants to consult their implanting surgeon.
Implanting surgeons
- Await further advice from the MHRA regarding clinical management of patients implanted with these devices.
Distribution
This MDA has been distributed to:
- NHS trusts in England (chief executives)
- HSC trusts in Northern Ireland (chief executives)
- NHS boards in Scotland (chief executives)
- NHS boards and trusts in Wales (chief executives)
- Primary care trusts in England (chief executives)
Onward distribution
Please bring this notice to the attention of all who need to know or be aware of it. This may include distribution by:
Trusts to:
CAS and SABS (NI) liaison officers for onward distribution to all relevant staff including:
- Medical directors
- Plastic surgeons and all surgeons involved in breast reconstruction
- Directors of surgical units involved in breast construction
- Nurse executive directors
- Specialist nurses involved in breast cancer care
Primary care trusts to:
CAS liaison officers for onward distribution to all relevant staff including:
- General practitioners
- Practice managers
- Practice nurses
Manufacturer contact
Andrew Hay (Director)
Clover Leaf Products Ltd
6-10 Church Farm Courtyard
High Street
Chalfont St Giles
HP9 4QH
Tel: 01494 876 990
Fax: 01494 876 991
Email: andy@cloverleafproducts.com
(company name corrected August 2010)
Feedback
If you have any comments or feedback on this Medical Device Alert, please email us at: dts@mhra.gov.uk
England
If you are in England, please send enquiries about this notice to the MHRA, quoting reference number MDA/2010/025 or 2010/003/030/081/019.
Technical aspects
Bayode Adisa or Ian Smith or Khalid Razak
Medicines & Healthcare products Regulatory Agency
Market Towers
1 Nine Elms Lane
London
SW8 5NQ
Tel: 020 7084 3223/3306/3200
Fax: 020 7084 3106
Email: bayode.adisa@mhra.gov.uk , Ian.smith@mhra.gov.uk or khalid.razak@mhra.gov.uk
Clinical aspects
Dr Susanne Ludgate
Medicines & Healthcare products Regulatory Agency
Market Towers
1 Nine Elms Lane
London
SW8 5NQ
Tel: 020 7084 3123
Fax: 020 7084 3111
Email: susanne.ludgate@mhra.gov.uk
How to report adverse incidents
Please report via our website: Reporting adverse incidents involving medical devices.
Further information about CAS can be found on the Central Alerting System website .
Northern Ireland
Alerts in Northern Ireland will continue to be distributed via the NI SABS system.
Enquiries and adverse incident reports in Northern Ireland should be addressed to:
Northern Ireland Adverse Incident Centre
Health Estates Investment Group
Room 17 Annex 6
Castle Buildings
Stormont Estate
Dundonald
BT4 3SQ
Tel: 028 9052 3704
Fax: 028 9052 3900
Email: NIAIC@dhsspsni.gov.uk
Northern Ireland Adverse Incident Centre (NIAIC)
How to report adverse incidents in Northern Ireland
Please report directly to NIAIC, further information can be found on the NIAIC website .
Further information about SABS can be found on the SABS website .
Scotland
Enquiries and adverse incident reports in Scotland should be addressed to:
Incident Reporting and Investigation Centre
Health Facilities Scotland
NHS National Services Scotland
Gyle Square
1 South Gyle Crescent
Edinburgh
EH12 9EB
Tel: 0131 275 7575
Fax: 0131 314 0722
Email: nss.iric@nhs.net
Health Facilities Scotland - Incident Reporting and Investigation Centre .
Wales
Enquiries in Wales should be addressed to:
Dr Sara Hayes
Senior Medical Officer
Medical Device Alerts
Welsh Assembly Government
Cathays Park
Cardiff
CF10 3NQ
Tel: 029 2082 3922
Email: Haz-Aic@wales.gsi.gov.uk
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