FDA Adverse Event
Injury
Summary report: N
T-SLING
MDR report key: 3012358
·
Received March 7, 2013
Report
- Report Number
- 3003990090-2013-00050
- Event Type
- Injury
- Date Received
- March 7, 2013
- Date of Event
- September 7, 2006
- Report Date
- February 19, 2013
- Manufacturer
- HERNIAMESH S.R.L.
- Product Code
- PAH
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- CO, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
EVENT WAS REPORTED TO CALDERA MEDICAL BY AN ATTORNEY. LEGAL COMPLAINT STATES THAT PT SUFFERED SIGNIFICANT HARM, CONSCIOUS PAIN, AND SUFFERING, PHYSICAL INJURY AND BODILY IMPAIRMENT RESULTING PERMANENT PHYSICAL DEFICITS, PERMANENT AND OTHER SEQUELAE LIKELY TO CONTINUE MANIFESTING IN THE FUTURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 98337 | T-SLING | SURGICAL MESH | PAH | HERNIAMESH S.R.L. | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |