Becker Continued Access Study

Silicone gel-filled breast implants were introduced in the early sixties and were in
wide-scale distribution by the time the Medical Device Amendments to the Food Drug and
Cosmetic Act was passed in 1976. In 1983, gel-filled breast implants were designated as Class
III devices requiring premarket approval. In May 1990, the Food and Drug Administration (FDA)
published a proposed request (515(b)) for Pre-market Approval Applications (PMA) and in April
1991 published the final request. This final publication put manufacturers of gel-filled
breast implants on notice that for continued marketing of gel-filled breast implants, a PMA
was due to FDA in 90 days from the final publication date.

A pre-market approval (PMA) for the Mentor gel-filled breast implants was filed with the FDA
in July 1991. At the FDA General and Plastic Surgery Advisory Committee meeting in November
1991, the committee recommended the submission of additional information to establish the
safety and effectiveness of gel-filled breast implants.

In January 1992, the FDA Commissioner announced a voluntary moratorium of the sale of
gel-filled breast implants to allow the advisory panel time to assess additional information.
In April 1992, the moratorium was lifted but only for reconstruction and revision subjects.
Every subject implanted had to be part of an adjunct study, in addition to being offered
participation in a registry of gel-filled breast implant subjects. In order to be implanted
with gel-filled implants for augmentation, women had to be enrolled in an IDE clinical trial.

A PMA for Mentor's MemoryGel™ Silicone Gel-Filled breast implants (which did not include the
Becker Expander/Breast Implants) was subsequently filed with FDA in December 2003, and
approved in November 2006 (P030053). As a condition of approval of P030053, new enrollment in
Mentor's Adjunct Study has ceased, and women no longer have access to the Becker
Expander/Breast Implants.

The Mentor Becker Expander/Breast Implant was used throughout the United States during this
time (since 1992) under the Mentor Adjunct Study to allow continued access to the device and
to collect some safety information, however was not evaluated in the MemoryGel Core Study.
The gel fill used in the MemoryGel implants is the same gel fill that is used for the Becker
device.

This protocol describes the study design procedures and population for a Continued Access
(CA) Study for the Mentor Becker 25 and 50 Expander/Breast implants. While Core Becker
patient follow-up is being completed, this CA Study is designed to enroll patients at a
limited rate per month to allow for continued physician experience with the device. The
safety data obtained may be used to provide supplemental information to the PMA. It will be
requested that this study be initiated and renewed every six months until a final decision is
reached regarding the Becker PMA.

Inclusion Criteria:

- Subject is genetic female, 18 years of age or older

- A candidate for primary breast reconstruction for cancer, trauma, surgical loss of
breast tissue due to mastectomy, malignancy, contralateral post-reconstruction
symmetry, or congenital deformity, including asymmetry (see Section 6.0 for
definition)

- Signs the Informed Consent

- Agrees to return device to Mentor if explant necessary

- Agrees to comply with follow-up procedures, including returning for all follow-up
visits

- Patient is a US citizen with a Social Security Number and understands English

Exclusion Criteria:

- Subject is pregnant

- Has nursed a child within three months of study enrollment.

- Been implanted with any silicone implant including breast implants (e.g. silicone
artificial joints or facial implants)

- Confirmed diagnosis of the following rheumatic diseases or syndromes: SLE, Sjogren's
syndrome, scleroderma, polymyositis, or any connective tissue disorder, rheumatoid
arthritis, crystalline arthritis, infectious arthritis, spondylarthropathies, any
other inflammatory arthritis, fibromyalgia, or chronic fatigue syndrome

- Infection or abscess anywhere in the body

- Demonstrates tissue characteristics which are clinically incompatible with implant
(e.g. tissue damage resulting from radiation, inadequate tissue, or compromised
vascularity)

- Possesses any condition, or is under treatment for any condition which, in the opinion
of the investigator and/or consulting physicians(s), may constitute an unwarranted
surgical risk

- Anatomic or physiologic abnormality which could lead to significant postoperative
adverse events

- Demonstrates characteristics that are unrealistic/unreasonable with the risks involved
with the surgical procedure

- Premalignant breast disease without a subcutaneous mastectomy

- Untreated or inappropriately treated breast malignancy, without mastectomy

- Are HIV positive

- Implanted metal or metal devices, history of claustrophobia or other condition that
would make a MRI scan prohibitive

- Physician is intending to use the device for tissue expansion only