FDA Adverse Event Injury Summary report: N

REMEEX SYSTEM FOR FEMALE URINARY INCONTINENCE

MDR report key: 10095199 · Received May 28, 2020

Report

Report Number
3006621295-2020-00001
Event Type
Injury
Date Received
May 28, 2020
Date of Event
January 1, 2016
Report Date
May 28, 2020
Manufacturer
DIMA S.L.
Product Code
OTN
PMA / PMN Number
K033310
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINT INDICATED THAT THE PATIENT WAS AWAITING REMOVAL OF DEVICE, AND WHEN THE MANUFACTURER CONTACTED THE HOSPITAL, NO FURTHER DETAILS REGARDING THE GENERAL MEDICAL HEALTH OF THE PATIENT COULD BE OBTAINED. TO DATE, THE COMPLAINT DEVICE HAS NOT BEEN RETURNED. A REVIEW OF THE MANUFACTURING RECORDS WAS PERFORMED AND INDICATES THAT THERE WERE NO QUALITY CONCERNS ASSOCIATED WITH THE MANUFACTURING PROCESS. IF THE DEVICE OR ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED, A SUPPLEMENTAL MDR WILL BE FILED.

Description of Event or Problem · 1

MANUFACTURER RECEIVED THE FOLLOWING COMPLAINT FROM (B)(6) HEALTH AUTHORITIES: "VARITENSOR PART OF DEVICE THAT SITS SUPRAPUBICALLY IS CHRONICALLY INFECTED WITH A SINUS TO SKIN DRAINING SCANT DISCHARGE. SUTURES TO SUBURETHRAL MESH SECTION OF DEVICE HAVE ERODED INTO URETHRA AS SEEN ON (B)(6) 2016 AT CYSTOSCOPY." THE DETAILS OF THE INJURY ARE AS FOLLOWS: "PAIN AND DISCOMFORT AND DISCHARGE RELATED TO INFECTED DEVICE. RECURRENT UTI DUE TO INFECTED URETHRAL PORTION." THE ACTION TAKEN BY HOSPITAL IS AS FOLLOWS: "AWAITING REMOVAL OF ENTIRE DEVICE AT A COMBINED RETROPUBIC AND VAGINAL APPROACH UNDER ANAESTHETIC."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
559694 REMEEX SYSTEM FOR FEMALE URINARY INCONTINENCE SURGICAL MESH FOR STRESS URINARY INCONTINENCE OTN DIMA S.L. SREM-01 SREM01 22-0190605

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention