FDA Adverse Event Injury Summary report: N

UNK

MDR report key: 2903713 · Received December 29, 2012

Report

Report Number
MW5028441
Event Type
Injury
Date Received
December 29, 2012
Date of Event
April 17, 2012
Report Date
December 29, 2012
Manufacturer
UNK
Product Code
FTL
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
AR, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

A SUTURE AND MESH FIBERS FOUND INSIDE BLADDER. REMOVAL (B)(6) 2012.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK MESH FOR HERNIA FTL UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 59 YR Hospitalization| R