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