FDA Adverse Event
Injury
Summary report: N
AVAULTA POSTERIOR BIOSYNTHETIC SUPPORT SYSTEM
MDR report key: 5241933
·
Received November 22, 2015
Report
- Report Number
- 1018233-2012-02007
- Event Type
- Injury
- Date Received
- November 22, 2015
- Report Date
- November 2, 2015
- Manufacturer
- SOFRADIM PRODUCTION
- Product Code
- FTL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MS, US
- Reporter Occupation
- ATTORNEY
- Health Professional
- N
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 772267 | AVAULTA POSTERIOR BIOSYNTHETIC SUPPORT SYSTEM | Mesh, surgical, polymeric | FTL | SOFRADIM PRODUCTION | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention | ALIGN TO URETHRAL SUPPORT SYSTEM | AVAULTA PLUS ANTERIOR BIOSYNTHETIC SUPPORT SYSTEM| PELVISOFT ACELLULAR COLLAGEN BIOMESH |