FDA Adverse Event Injury Summary report: N

URETEX SUPPORT PP TRANSOBTUR2 KIT X1

MDR report key: 3220959 · Received July 3, 2013

Report

Report Number
9615742-2013-00693
Event Type
Injury
Date Received
July 3, 2013
Date of Event
January 18, 2007
Report Date
April 23, 2018
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
Health Professional
N

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

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

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
306598 URETEX SUPPORT PP TRANSOBTUR2 KIT X1 URETEX SUPPORT OTN SOFRADIM PRODUCTION SGI00088

Patients

Seq Age Sex Outcome Treatment
1 63 YR Female Other