Breast Reconstruction Clinical Trial
Official title:
Mentor Adjunct Study for Silicone Gel-Filled Mammary Prosthesis
Mentor is undertaking a five-year prospective clinical study designed to collect safety data associated with the implantation of its gel-filled mammary prostheses. This study is an "adjunct" study, which will encompass clinical reviews of reconstructive cases in all patients who meet clinical and regulatory criteria for breast reconstruction with gel-filled mammary prostheses. This "adjunct" study will be accomplished under a limited clinical protocol in which specific parameters will be required but with controls somewhat less stringent than those normally required in Investigational Device Exemption (IDE) Trials.
Objectives of this study are to gather safety data regarding short term, post-implant events
and complications needed to support Premarket Approval (PMA) submissions for Mentor Silicone
Gel-Filled Mammary Prostheses and to maintain a comprehensive record of the patient's
ongoing medical history. The FDA has placed the devices in a regulatory category as a Class
III device, pursuant to the Medical Device Amendments to the Federal Food and Drug Act which
went into effect in May 1976. For devices in this class, FDA requires certain clinical data
regarding the risks associated with mammary prostheses. Due to several issues surrounding
possible risks of silicone gel-filled breast implants, the FDA has mandated specific
clinical study requirements to further assess possible risks and complications of silicone
devices. Clinical data collected via this study will supplement data which will be collected
in more extensive "Core" studies for breast reconstruction and augmentation procedures.
Primary Objective - Safety Assessment
Specifically, data collected during this study will provide risk and complication data with
regard to short-term use of silicone breast implants. This safety assessment will include,
but is not limited to:
- Incidence of capsular contracture
- Occurrence of complications such as infection and seroma
- Rupture rates for the implant
Secondary Objectives
This study is not intended to assess rare, long-term or speculative conditions which are not
proven clinically to be associated with mammary prostheses, such as their relationship to
Connective Tissue Disorders, an increased risk of cancer or teratogenic effects among breast
implant patients. This study is also not intended to address issues regarding the effects of
breast implants on mammography interpretation and occurrence of calcium deposits in the
tissue surrounding the implant. However, data on these and other complications noted in this
study, should they occur, will be recorded and analyzed with regard to the objective of the
study.
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