FDA Adverse Event
Injury
Summary report: N
NEEDLELESS SLING
MDR report key: 10141674
·
Received June 11, 2020
Report
- Report Number
- 3006621295-2020-00004
- Event Type
- Injury
- Date Received
- June 11, 2020
- Date of Event
- September 9, 2015
- 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 NEEDLELESS SLING IMPLANT, THE PATIENT PRESENTED EROSION OF THE VAGINAL MUCOSA AND RECURRENCE OF THE URINARY INCONTINENCE. IT WAS COMMUNICATED THAT THE PATIENT DID NOT WANT TO UNDERGO SURGICAL INTERVENTION TO REMOVE THE ERODED AREA OF THE SLING. LOCAL ESTROGEN WAS ADMINISTERED TO THE PATIENT. THE PATIENT EXPERIENCED PAIN, VAGINAL DISCHARGE AND RECURRENT STRESS URINARY INCONTINENCE THAT WAS PARTIALLY TREATED WITH BULKING AGENTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 606402 | NEEDLELESS SLING | SURGICAL MESH FOR STRESS URINARY INCONTINENCE | PAH | DIMA S.L. | NL-01 | CNL20081024 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Required Intervention |