FDA Adverse Event Injury Summary report: N

UNKNOWN SOFRADIM PRODUCT

MDR report key: 3220960 · Received July 3, 2013

Report

Report Number
9615742-2013-00670
Event Type
Injury
Date Received
July 3, 2013
Date of Event
September 27, 2006
Report Date
June 10, 2013
Manufacturer
SOFRADIM PRODUCTION
Product Code
OTN
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 PT ALLEGED INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
304181 UNKNOWN SOFRADIM PRODUCT SOFRADIM MESH OTN SOFRADIM PRODUCTION

Patients

Seq Age Sex Outcome Treatment
1 Other