FDA Adverse Event Injury Summary report: N

UNKNOWN SOFRADIM PRODUCT

MDR report key: 3231625 · Received July 12, 2013

Report

Report Number
9615742-2013-00791
Event Type
Injury
Date Received
July 12, 2013
Date of Event
November 2, 2006
Report Date
June 18, 2013
Manufacturer
SOFRADIM PRODUCTION
Product Code
FTL
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

PROCEDURE: STRESS UI /PELVIC ORGAN PROLAPSE. ACCORDING TO THE REPORTER: THE PATIENT'S ATTORNEY ALLEGED A DEFICIENCY AGAINST THE DEVICE. PRODUCT WAS USED FOR THERAPEUTIC TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
323986 UNKNOWN SOFRADIM PRODUCT SOFRADIM MESH FTL SOFRADIM PRODUCTION

Patients

Seq Age Sex Outcome Treatment
1 Other