BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STARTER KIT, SIZE 2, 1212

    MDR report key: 86926 · Received April 27, 1997

    Report

    Report Number
    1224675-1997-00027
    Event Type
    Injury
    Date Received
    April 27, 1997
    Date of Event
    April 4, 1997
    Report Date
    April 16, 1997
    Manufacturer
    UROMED CORP.
    Product Code
    MNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    PT REPORTED A POSSIBLE MIGRATION. PT WAS EXAMINED BY A MEDICAL PROFESSIONAL AND NO DEVICE WAS FOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STARTER KIT, SIZE 2, 1212 RELIANCE MNG UROMED CORP. SIZE 2 0000000007

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention