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			 The long-term safety of breast implants has been questioned over the 
			years. Last month, the FDA issued a statement warning doctors about 
			a type of lymphoma linked to breast implants after receiving reports 
			of the disease. 
 The agency's letters, dated March 18, highlighted issues in the 
			companies' post-approval studies, which included evaluating the 
			long-term performance and safety of the implants, used for breast 
			augmentation and reconstruction procedures.
 
 
			
			 
			The letter to J&J's medical aesthetics unit Mentor Worldwide LLC 
			noted "several serious deficiencies" in the company's post-approval 
			study for its MemoryShape breast implant approved in 2013.
 
 Failure to enroll the required number of patients in the study and 
			data inconsistencies, including poor patient accounting and missing 
			race and ethnicity data, were identified as violations in the letter 
			to Mentor.
 
 Mentor said it was disappointed with the FDA's decision to issue a 
			warning letter, even as the company attempted to address 
			post-approval study requirements with the agency.
 
 "Despite multiple attempts to discuss this with FDA, Mentor has not 
			received feedback," Mentor spokeswoman Mindy Tinsley said in an 
			emailed statement.
 
			
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			Sientra had reported a poor patient follow-up rate of 61 percent for 
			the post-approval study of its silicone gel breast implants, which 
			required the company to evaluate the study subjects annually for 10 
			years, according to the FDA letter. 
			The agency said failure to make good the violations may result in 
			the withdrawal of the premarket approval granted to the products.
 The FDA asked the companies to provide responses within 15 working 
			days with details about how the noted violations will be corrected.
 
 Last year, the U.S. Securities and Exchange Commission sued 
			Sientra's former chief executive for fraudulently concealing 
			problems with his company's breast and other implants while raising 
			$61.4 million in a public stock offering.
 
 Shares of Sientra were down 1.8 percent at $8.65, while J&J shares 
			were flat in after market trading.
 
 (Reporting by Saumya Sibi Joseph in Bengaluru; Editing by Shailesh 
			Kuber and Chris Reese)
 
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