BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MESH PRODUCT

    MDR report key: 3952021 · Received July 15, 2014

    Report

    Report Number
    1219930-2014-00528
    Event Type
    Injury
    Date Received
    July 15, 2014
    Date of Event
    September 30, 2010
    Report Date
    June 26, 2014
    Manufacturer
    COVIDIEN LP, FORMERLY US SURGICAL
    Product Code
    FTL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    ATTORNEY

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). INITIAL REPORT SENT TO FDA ON (B)(4) 2014.

    Description of Event or Problem · 1

    PROCEDURE: UNK. ACCORDING TO THE REPORTER: THE PT ALLEGED INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    413107 MESH PRODUCT MESH PRODUCT FTL COVIDIEN LP, FORMERLY US SURGICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 Other