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