FDA Adverse Event Injury Summary report: N

T-SLING

MDR report key: 4203521 · Received October 20, 2014

Report

Report Number
3003990090-2014-00023
Event Type
Injury
Date Received
October 20, 2014
Date of Event
July 11, 2007
Report Date
September 23, 2014
Manufacturer
HERNIAMESH S.R.L.
Product Code
FTL
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

EVENT WAS REPORTED TO CALDERA MEDICAL BY AN ATTORNEY. LEGAL COMPLAINT STATES THAT PT SUFFERED SERIOUS BODILY INJURIES, INCLUDING, BUT NOT LIMITED TO EXTREME PAIN, EROSION OF HER INTERNAL BODILY TISSUE, DYSPAREUNIA, PAINFUL SCARRING, AND OTHER INJURIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
666707 T-SLING SURGICAL MESH FTL HERNIAMESH S.R.L. T-SLING 0465

Patients

Seq Age Sex Outcome Treatment
1 Other