BEUDAMED
    FDA Adverse Event Injury Summary report: N

    IMPRESS/PK UNKNOWN

    MDR report key: 112418 · Received August 11, 1997

    Report

    Report Number
    1224675-1997-00043
    Event Type
    Injury
    Date Received
    August 11, 1997
    Date of Event
    July 23, 1997
    Report Date
    July 28, 1997
    Manufacturer
    UROMED CORP.
    Product Code
    MNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT REPORTED DEVICE MIGRATED INTO HER VAGINA. DEVICE REMOVED BY MEDICAL PROFESSIONAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IMPRESS/PK UNKNOWN IMPRESS SOFTPATCH MNG UROMED CORP. * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention