BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEME IMPLANT

    MDR report key: 19597 · Received December 22, 1994

    Report

    Report Number
    19597
    Event Type
    Injury
    Date Received
    December 22, 1994
    Date of Event
    December 16, 1994
    Report Date
    December 22, 1994
    Manufacturer
    MEDICAL ENGINEERING CORP.
    Product Code
    FTR
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    REMOVAL OF L & R IMPLANTS; HISTORY OF FIBROMYALGIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEME IMPLANT Implant POLYURETHANE IMPLANT FTR MEDICAL ENGINEERING CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Hospitalization