BEUDAMED
    FDA Adverse Event Injury Summary report: N

    1213643-2007-00580

    MDR report key: 931773 · Received August 29, 2007

    Report

    Report Number
    1213643-2007-00580
    Event Type
    Injury
    Date Received
    August 29, 2007
    Manufacturer
    DAVOL, INC., SUB C.R. BARD, INC.
    Product Code
    FTL
    PMA / PMN Number
    PREAMENDME
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    CURRENTLY, IT IS UNK WHETHER OR NOT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT AS NO PRODUCT HAS BEEN RETURNED. NO CONCLUSION CAN BE DRAWN AT THIS TIME. WE WILL SUBMIT A FOLLOW UP REPORT WHEN/IF PRODUCT IS RETURNED FOR EVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FTL DAVOL, INC., SUB C.R. BARD, INC. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1