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