BEUDAMED
    FDA Adverse Event Other Summary report: N

    AVAULTA BIOSYNTHETIC SUPPORT SYSTEM

    MDR report key: 5047690 · Received February 8, 2013

    Report

    Report Number
    1018233-2013-00310
    Event Type
    Other
    Date Received
    February 8, 2013
    Report Date
    January 9, 2013
    Manufacturer
    SOFRADIM PRODUCTION
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    ATTORNEY
    Health Professional
    N

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    55555 AVAULTA BIOSYNTHETIC SUPPORT SYSTEM FTL SOFRADIM PRODUCTION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Female Required Intervention