BEUDAMED
    FDA Adverse Event Injury Summary report: N

    URETEX SUPPORT PP TRANSOBTUR2 KIT X1

    MDR report key: 3220934 · Received July 3, 2013

    Report

    Report Number
    9615742-2013-00713
    Event Type
    Injury
    Date Received
    July 3, 2013
    Date of Event
    April 25, 2007
    Report Date
    June 10, 2013
    Manufacturer
    SOFRADIM PRODUCTION
    Product Code
    OTN
    PMA / PMN Number
    K041176
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    PROCEDURE: UROGYNECOLOGICAL. ACCORDING TO THE REPORTER: THE PATIENT ALLEGED INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    303647 URETEX SUPPORT PP TRANSOBTUR2 KIT X1 URETEX SUPPORT OTN SOFRADIM PRODUCTION SGL00192

    Patients

    Seq Age Sex Outcome Treatment
    1 Other LOT #ZG100806, EXP: 09/30/2011, MFR: 09/2006| PARIETEX UGYTEX PP POSTERIOR KIT: UGYKP