BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STARTER KIT, SIZE 4, 1214

    MDR report key: 94671 · Received May 27, 1997

    Report

    Report Number
    1224675-1997-00034
    Event Type
    Injury
    Date Received
    May 27, 1997
    Date of Event
    May 12, 1997
    Report Date
    May 15, 1997
    Manufacturer
    UROMED CORP.
    Product Code
    MNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT REPORTED SHE COULD NOT FIND DEVICE WHEN SHE PULLED THE STRING. DEVICE WAS LATER FOUND ON FLOOR AND HAD NOT MIGRATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STARTER KIT, SIZE 4, 1214 RELIANCE MNG UROMED CORP. SIZE 4 0000000009

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention