BEUDAMED
    FDA Adverse Event Injury Summary report: N

    URETEX SUP URETHRAL SUPPORT SYSTEM

    MDR report key: 3172311 · Received April 24, 2013

    Report

    Report Number
    1018233-2013-01537
    Event Type
    Injury
    Date Received
    April 24, 2013
    Report Date
    September 26, 2018
    Manufacturer
    C.R. BARD, INC. (COVINGTON) -1018233
    Product Code
    OTN
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    NY, US
    Reporter Occupation
    ATTORNEY
    Health Professional
    N

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE PATIENT'S ATTORNEY THAT AS A RESULT OF HAVING THE PRODUCT IMPLANTED, THE PATIENT HAS EXPERIENCED PAIN, DISABILITY, AND IMPAIRMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    177929 URETEX SUP URETHRAL SUPPORT SYSTEM No Match OTN C.R. BARD, INC. (COVINGTON) -1018233 NA C24146SUP

    Patients

    Seq Age Sex Outcome Treatment
    1 Female Required Intervention MARLEX MESH