BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN MESH PRODUCT

    MDR report key: 4232027 · Received November 6, 2014

    Report

    Report Number
    1219930-2014-01011
    Event Type
    Injury
    Date Received
    November 6, 2014
    Date of Event
    May 25, 2004
    Report Date
    October 15, 2014
    Manufacturer
    COVIDIEN, FORMERLY US SURGICAL A DIVISON
    Product Code
    FTL
    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. MEDICAL HISTORY: RECURRENT STRESS URINARY INCONTINENCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    715810 UNKNOWN MESH PRODUCT UNKNOWN MESH FTL COVIDIEN, FORMERLY US SURGICAL A DIVISON UNKNOWN MESH NOT AVAILABLE

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Other