FDA Adverse Event
Injury
Summary report: N
ABDOMINAL MESH
MDR report key: 2932557
·
Received January 25, 2013
Report
- Report Number
- MW5028739
- Event Type
- Injury
- Date Received
- January 25, 2013
- Date of Event
- July 28, 2011
- Report Date
- January 14, 2012
- Product Code
- FTL
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- PHYSICIAN ASSISTANT
Narratives
Description of Event or Problem · 1
PRIOR ABDOMINAL SACRAL COLPOPEXY, VAGINAL CONTRACTURE AND PAIN, NEEDED SURGICAL EXCISION OF ABDOMINAL MESH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 36198 | ABDOMINAL MESH | NONE | FTL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Hospitalization| R |