BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AVAULTA MESH

    MDR report key: 3131159 · Received May 22, 2013

    Report

    Report Number
    MW5030281
    Event Type
    Injury
    Date Received
    May 22, 2013
    Date of Event
    February 26, 2013
    Report Date
    May 22, 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

    PREVIOUS AVAULTA MESH THAT ERODED THROUGH THE MIDLINE ANTERIOR VAGINA, REMOVAL WAS DESIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    226826 AVAULTA MESH MESH FTL UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR