BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NA

    MDR report key: 373959 · Received January 24, 2002

    Report

    Report Number
    MW1023890
    Event Type
    Injury
    Date Received
    January 24, 2002
    Date of Event
    November 7, 2001
    Report Date
    January 14, 2002
    Manufacturer
    NA
    Product Code
    FGB
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT DEVELOPED SIGNIFICANT URINARY SYMPTOMS AND EVENTUALLY WAS DIAGNOSED WITH A KIDNEY STONE AND AND REQUIRED A BILATERAL NEPHROSTOMY TUBES RELATED TO COMPLICATED KIDNEY STONES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NA NA FGB NA NA *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Hospitalization