FDA Adverse Event
Injury
Summary report: N
NEEDLELESS SLING
MDR report key: 10141670
·
Received June 11, 2020
Report
- Report Number
- 3006621295-2020-00002
- Event Type
- Injury
- Date Received
- June 11, 2020
- Date of Event
- May 26, 2009
- Report Date
- June 10, 2020
- Manufacturer
- DIMA S.L.
- Product Code
- PAH
- PMA / PMN Number
- K063136
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DA
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
AFTER RECEIVING A NEEDLELESS SLING IMPLANT, THE PATIENT EXPERIENCED EROSION OF THE VAGINAL MUCOSA. PARTIAL EXPLANTATION WAS PERFORMED SUCCESSFULLY TO REMOVE THE PART OF THE MESH THAT HAD EXTRUDED INTO THE VAGINAL MUCOSA WITH NO FURTHER CONSEQUENCES (FOR EXAMPLE THERE WAS NO INFECTION OR ADDITIONAL DAMAGE TO THE PATIENT). PATIENT OUTCOME WAS SATISFACTORY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 606346 | NEEDLELESS SLING | SURGICAL MESH FOR STRESS URINARY INCONTINENCE | PAH | DIMA S.L. | NL-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |