BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GASTRIC BANDING

    MDR report key: 2003628 · Received February 23, 2011

    Report

    Report Number
    MW5019555
    Event Type
    Injury
    Date Received
    February 23, 2011
    Date of Event
    October 1, 2010
    Report Date
    February 15, 2011
    Product Code
    LTI
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I'VE BEEN IN THE HOSPITAL MORE THAN (3) THREE TIMES FOR BLOOD CLOTS TO BOTH LUNGS AND BOTH OF MY LEGS, FROM (B)(6) 2010, AND NOW I'M ON LOVENOX INJECTION SINCE (B)(6) UNTIL PRESENT DATE. MY LEFT LEG IS VERY WEAK AND SWOLLEN ALL THE TIMES. I ALSO CAN'T PUT TOO MUCH WEIGHT ON MY LEFT LEG OR I WILL FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GASTRIC BANDING GASTRIC BANDING LTI
    2 GORE-TEX DUAL MESH BAND FTL
    3 GORE-TEX DUAL MESH BAND FTL

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Hospitalization| L| R| S