BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN URETEX MESH PRODUCT

    MDR report key: 3964892 · Received July 18, 2014

    Report

    Report Number
    9615742-2014-00228
    Event Type
    Injury
    Date Received
    July 18, 2014
    Date of Event
    April 7, 2004
    Report Date
    July 2, 2014
    Manufacturer
    SOFRADIM PRODUCTION
    Product Code
    OTN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    ACCORDING TO THE REPORTER: THE PATIENT ALLEGED INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    423445 UNKNOWN URETEX MESH PRODUCT NONE OTN SOFRADIM PRODUCTION NOT AVAILABLE

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other