BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SOFTFORM FACIAL IMPLANT

    MDR report key: 288635 · Received August 4, 2000

    Report

    Report Number
    2027148-2000-00041
    Event Type
    Injury
    Date Received
    August 4, 2000
    Date of Event
    April 29, 2000
    Report Date
    August 4, 2000
    Manufacturer
    TISSUE TECHNOLOGIES, INC.
    Product Code
    FTL
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT IMPLANTED IN 2000 IN THE ORAL COMMISSURES. ONSET OF INFECTION AND ERYTHEMA, DATE UNKNOWN. IMPLANT EXPLANTED IN 2000.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SOFTFORM FACIAL IMPLANT SOFTFORM FTL TISSUE TECHNOLOGIES, INC. NA K03808/98J291A

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention KEFTAB (IN 2000), LEVAQUIN ( IN 2000).