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