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Allergan device tracking 2026

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The document provides detailed instructions for completing Allergan's Device Tracking Form for Natrelle® Silicone-Filled Breast Implants. It outlines the necessary steps for healthcare facilities to notify Allergan upon implantation, explantation, or disposal of the implants, emphasizing compliance with federal law. The form requires specific information about the device, surgery, and patient details, and includes sections for new devices that are discarded and for implants that are removed. Additionally, it informs patients about their participation in the Device Tracking Program and options regarding the release of their personal information.

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Click ‘Get Form’ to open the Allergan Device Tracking Form in the editor.
Begin by completing the 'Device and Surgery Information' section. Affix the breast implant label to page 1 and place the device tracking label on page 2, marking 'L' for left and 'R' for right implants. If labels are unavailable, record the catalog number (REF) and serial number (SN) in the designated spaces.
Fill in the 'Implanting/Explanting Physician Information' with your details, including name, address, email, and contact numbers.
Complete the 'Attending/Following Physician Information' if different from the implanting physician. Ensure all fields are filled accurately.
Provide patient information including name, date of birth, social security number, and contact details in the respective fields.
If applicable, complete section II for devices that were opened but not used. Record serial numbers and disposal dates as necessary.
For removed implants, fill out section III with explantation details and ensure all serial numbers are recorded before faxing page 1 to Allergan at 800.432.8803.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the fax number for Allergan device tracking?

April 18, 2025 Is Allergan paying for implant removal? The short answer to this question is, No. Despite the widely reported issues with the companys implantsand the companys own recallit is not voluntarily paying for removal of implants that have been linked to BIA-ALCL.

Is there a lawsuit against Allergan implants?

However, implants can rupture due to defects, surgical errors, or accidents, leaving patients with serious health concerns. Good Guys Injury Law helps victims of ruptured implants determine their legal options. If defective implants or surgical mistakes have harmed you, you may be able to file a lawsuit.