FDA Adverse Event
Malfunction
Summary report: N
SOLYX
MDR report key: 3882958
·
Received May 29, 2014
Report
- Report Number
- 3882958
- Event Type
- Malfunction
- Date Received
- May 29, 2014
- Date of Event
- February 21, 2014
- Report Date
- May 29, 2014
- Manufacturer
- BOSTON SCIENTIFIC
- Product Code
- OTN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 316743 | SOLYX | MESH, SURGICAL, GYNECOLOGIC | OTN | BOSTON SCIENTIFIC | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR |