FDA Adverse Event Injury Summary report: N

URETEX SUP URETHRAL SUPPORT SYSTEM

MDR report key: 3152162 · Received May 29, 2013

Report

Report Number
1018233-2013-02272
Event Type
Injury
Date Received
May 29, 2013
Report Date
April 30, 2013
Manufacturer
SOFRADIM PRODUCTION
Product Code
OTN
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
NY, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

COMPLAINT #(B)(4). THE PT'S ATTORNEY ALLEGED A DEFICIENCY AGAINST THE DEVICE. PER ADD'L INFO RECEIVED, THE PT HAS EXPERIENCED INADEQUATELY CONTROLLED POSTOPERATIVE PAIN AND URINE RESIDUAL OF 270CC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
233615 URETEX SUP URETHRAL SUPPORT SYSTEM OTN SOFRADIM PRODUCTION NA UNK

Patients

Seq Age Sex Outcome Treatment
1 38 YR Required Intervention