FDA Adverse Event
Injury
Summary report: N
URETEX SUP URETHRAL SUPPORT SYSTEM
MDR report key: 3221099
·
Received May 15, 2013
Report
- Report Number
- 1018233-2013-01988
- Event Type
- Injury
- Date Received
- May 15, 2013
- Report Date
- April 15, 2013
- Manufacturer
- SOFRADIM PRODUCTION
- Product Code
- OTN
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- MO, US
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
(B)(4). THE PT'S ATTORNEY ALLEGED A DEFICIENCY AGAINST THE DEVICE. ADDITIONAL INFO HAS BEEN REQUESTED, BUT NOT YET RECEIVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 216009 | URETEX SUP URETHRAL SUPPORT SYSTEM | OTN | SOFRADIM PRODUCTION | NA | SGE00329 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 50 YR | Required Intervention | BOSTON SCIENTIFIC POLYFORM |