BEUDAMED
    FDA Adverse Event Injury Summary report: N

    URETEX SUP RUETHRAL SUPPORT SYSTEM

    MDR report key: 3221172 · Received May 22, 2013

    Report

    Report Number
    1018233-2013-02138
    Event Type
    Injury
    Date Received
    May 22, 2013
    Report Date
    April 24, 2013
    Manufacturer
    SOFRADIM PRODUCTION
    Product Code
    OTN
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    TX, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    (B)(4). THE PATIENT'S ATTORNEY ALLEGED A DEFICIENCY AGAINST THE DEVICE. ADDITIONAL INFORMATION HAS BEEN REQUESTED, BUT NOT YET RECEIVED. ASSOCIATED MDR: 1018233-2013-02139.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    226290 URETEX SUP RUETHRAL SUPPORT SYSTEM OTN SOFRADIM PRODUCTION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Required Intervention URETEX SUP URETHRAL SUPPORT SYSTEM