FDA Adverse Event
Injury
Summary report: N
SURGICAL MESH
MDR report key: 3944467
·
Received July 14, 2014
Report
- Report Number
- MW5037272
- Event Type
- Injury
- Date Received
- July 14, 2014
- Date of Event
- July 3, 2012
- Report Date
- July 11, 2014
- Manufacturer
- UNK
- Product Code
- FTL
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
SURGERY TO REPAIR ABDOMINAL LLQ HERNIA POST C-SECTION ON (B)(6) 2012. THREE MONTHS POST SURGERY PAIN WORSENED TO THE DEGREE TODAY THAT I AM SEVERELY LIMITED IN PHYSICAL ACTIVITY AND BECOMING DEPRESSED FROM THE DAILY PAIN AND PHYSICAL DISABILITY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 409935 | SURGICAL MESH | MESH | FTL | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR | Disability |