Brand Name | TOTAL PELVIC FLOOR REPAIR SYST |
Type of Device | MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC |
Manufacturer (Section D) |
ETHICON INC. |
p.o. box 151, route 22 west |
somerville NJ 08876 |
|
Manufacturer (Section G) |
ETHICON SARL-NEUCHATEL |
puits-godet 20 |
|
neuchatel 2000 |
SZ
2000
|
|
Manufacturer Contact |
kara
ditty-bovard
|
p.o. box 151, route 22 west |
somerville, NJ 08876
|
6107428552
|
|
MDR Report Key | 9678397 |
MDR Text Key | 185917516 |
Report Number | 2210968-2020-00948 |
Device Sequence Number | 1 |
Product Code |
OTP
|
Combination Product (y/n) | N |
Reporter Country Code | IT |
PMA/PMN Number | K013718 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Other,Foreign |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
02/04/2020 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Expiration Date | 10/31/2007 |
Device Catalogue Number | PFRT01 |
Device Lot Number | 2973794 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
02/03/2020
|
Initial Date FDA Received | 02/06/2020 |
Supplement Dates Manufacturer Received | 01/31/2020
|
Supplement Dates FDA Received | 03/29/2024
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 11/09/2006 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|
Patient Sex | Female |
|
|