BEUDAMED
    FDA Adverse Event Injury Summary report: N

    URETEX TO URETHRAL SUPPORT SYSTEM

    MDR report key: 3181520 · Received May 21, 2013

    Report

    Report Number
    1018233-2013-00913
    Event Type
    Injury
    Date Received
    May 21, 2013
    Report Date
    February 22, 2013
    Manufacturer
    SOFRADIM PRODUCTION
    Product Code
    OTN
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    TX, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE PT'S ATTORNEY THAT AS A RESULT OF HAVING THE PRODUCT IMPLANTED, THE PT HAS EXPERIENCED PHYSICAL PAIN, SUFFERING, PERMANENT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    225389 URETEX TO URETHRAL SUPPORT SYSTEM OTN SOFRADIM PRODUCTION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention