BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SURGICAL MESH

    MDR report key: 4092873 · Received September 10, 2014

    Report

    Report Number
    MW5038162
    Event Type
    Injury
    Date Received
    September 10, 2014
    Date of Event
    January 1, 2001
    Report Date
    September 10, 2014
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    SURGICAL MESH HERNIA REPAIR IN 2001, FAILED. HAD ANOTHER SURGICAL MESH REPAIR, FAILED. CURRENT FAILURE, PAIN INTERMITTENTLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    556828 SURGICAL MESH MESH FTL
    556829 SURGICAL MESH MESH FTL

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Hospitalization| S