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