FDA Adverse Event
Injury
Summary report: N
UNK MESH
MDR report key: 2964119
·
Received February 8, 2013
Report
- Report Number
- MW5028970
- Event Type
- Injury
- Date Received
- February 8, 2013
- Date of Event
- June 18, 2012
- Report Date
- February 8, 2013
- Manufacturer
- UNK
- 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
URINARY RETENTION FROM PUBOVAGINAL SLING WHICH REQUIRED REMOVAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 55197 | UNK MESH | UNK MESH | FTL | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Hospitalization |