FDA Adverse Event
Injury
Summary report: N
T-SLING
MDR report key: 6215226
·
Received December 30, 2016
Report
- Report Number
- 9614846-2016-00234
- Event Type
- Injury
- Date Received
- December 30, 2016
- Date of Event
- August 23, 2016
- Report Date
- December 29, 2016
- Manufacturer
- HERNIAMESH SRL
- Product Code
- PAH
- UDI-DI
- 28032919892120
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
NOT RETURNED.
Description of Event or Problem · 1
PATIENT'S LEGAL REPRESENTATIVE STATED EXPOSED POSTERIOR PROLAPSE MESH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 866245 | T-SLING | URINARY INCONTINENCE SLING | PAH | HERNIAMESH SRL | 5194001400 | 28032919892120 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Congenital Anomaly| H| R| S |