FDA Adverse Event
Injury
Summary report: N
KIM KNOTLESS INCONTINENCE SLING
MDR report key: 10301497
·
Received July 20, 2020
Report
- Report Number
- MW5095618
- Event Type
- Injury
- Date Received
- July 20, 2020
- Date of Event
- February 4, 2020
- Report Date
- July 16, 2020
- Manufacturer
- NEOMEDIC INTERNATIONAL
- Product Code
- OTN
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
HAD A KIM KNOTLESS INCONTINENCE SLING PUT IN AND 7 WEEKS LATER SUFFERED URINARY URGENCY FREQUENCY, A STUCK PAIN SENSATION AT URETHRA , PAIN AT URETHRA, PAINFUL INTERCOURSE, RASHES, HAIR LOSS, AND MORE. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 757980 | KIM KNOTLESS INCONTINENCE SLING | MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, RETR | OTN | NEOMEDIC INTERNATIONAL | 190626 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 43 YR | Hospitalization| R| S |