BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SOFTFORM FACIAL IMPLANT

    MDR report key: 173932 · Received June 22, 1998

    Report

    Report Number
    2027148-1998-00042
    Event Type
    Injury
    Date Received
    June 22, 1998
    Date of Event
    January 6, 1998
    Report Date
    June 22, 1998
    Manufacturer
    TISSUE TECHNOLOGIES, INC.
    Product Code
    FTL
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT IMPLANTED 10/28/1997 INTO RIGHT AND LEFT ORAL COMMISSURES. ONSET OF INFECTION 01/1998 IN PERIORAL AREA. IMPLANT EXPLANTED 01/06/1998.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SOFTFORM FACIAL IMPLANT Implant SOFTFORM FTL TISSUE TECHNOLOGIES, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention