FDA Adverse Event Injury Summary report: N

MESH, SURGICAL, POLYMERIC

MDR report key: 3202552 · Received July 2, 2013

Report

Report Number
3005099803-2013-05786
Event Type
Injury
Date Received
July 2, 2013
Report Date
June 14, 2013
Manufacturer
BOSTON SCIENTIFIC - MARLBOROUGH
Product Code
FTL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A TRELEX MESH WAS IMPLANTED (B)(6) 1998. ACCORDING TO THE COMPLAINANT, THE PATIENT EXPERIENCED AN UNKNOWN INJURY. ALL OTHER INFORMATION IS UNKNOWN. SHOULD ADDITIONAL RELEVANT DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
302418 MESH, SURGICAL, POLYMERIC FTL BOSTON SCIENTIFIC - MARLBOROUGH UNK677

Patients

Seq Age Sex Outcome Treatment
1 Other