BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PELVICOL ACELLULAR COLLAGEN MATRIX

    MDR report key: 3152248 · Received March 5, 2013

    Report

    Report Number
    9617613-2013-00075
    Event Type
    Injury
    Date Received
    March 5, 2013
    Manufacturer
    COVIDIEN, FORMERLY TISSUE
    Product Code
    FTL
    PMA / PMN Number
    K992556
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    IMP REF #(B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    94889 PELVICOL ACELLULAR COLLAGEN MATRIX PELVICOL MESH FTL COVIDIEN, FORMERLY TISSUE 04B14-2

    Patients

    Seq Age Sex Outcome Treatment
    1