FDA Adverse Event Summary report: N

LAP BAND

MDR report key: 3181427 · Received June 4, 2013

Report

Report Number
3181427
Date Received
June 4, 2013
Date of Event
January 22, 2013
Report Date
May 23, 2013
Manufacturer
ALLERGAN
Product Code
LTI
Report Source
User Facility report
Reporter Location
CA, US

Narratives

Description of Event or Problem · 1

PATIENT HAVING COMPLICATIONS RELATED TO THE GASTRIC BAND. MD STATED THE PATIENT HAD A FAILED GASTRIC BAND.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?LAPAROSCOPIC GASTRIC BAND.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
247616 LAP BAND IMPLANT, INTRAGASTRIC FOR MORBID OBESITY LTI ALLERGAN * *

Patients

Seq Age Sex Outcome Treatment
1 * NO OTHER THERAPIES