BEUDAMED
    FDA Adverse Event Summary report: N

    TESTICULAR IMPLANT

    MDR report key: 11899 · Received March 9, 1994

    Report

    Report Number
    MW1000999
    Date Received
    March 9, 1994
    Report Date
    February 24, 1994
    Manufacturer
    UNKNOWN
    Product Code
    FAF
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT HAD IMPLANT DONE IN 6/86 FOR ABSENT LEFT TESTES SECONDARY TO TRAUMA. ON 2/7/94, PT RETURNED FOR REMOVAL OF ORIGINAL IMPLANT WHICH WAS NOW RUPTURED SECONDARY TO MOTOR VEHICLE ACCIDENT/TRAUMA AND REIMPLANT OF ANOTHER TESTICULAR IMPLANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TESTICULAR IMPLANT FAF UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 *