FDA Adverse Event Injury Summary report: N

GYNECARE UNKNOWN PRODUCT

MDR report key: 11178990 · Received January 15, 2021

Report

Report Number
2210968-2021-00411
Event Type
Injury
Date Received
January 15, 2021
Date of Event
January 1, 2019
Report Date
December 29, 2020
Manufacturer
ETHICON INC.
Product Code
OTO
PMA / PMN Number
K013718
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THIS REPORT IS RELATED TO A JOURNAL ARTICLE; THEREFORE, NO PRODUCT WILL BE RETURNED FOR ANALYSIS AND THE BATCH HISTORY RECORDS CANNOT BE REVIEWED AS THE LOT NUMBER HAS NOT BEEN PROVIDED. ATTEMPTS ARE BEING MADE TO CLARIFY THE FOLLOWING INFORMATION. TO DATE NO RESPONSE HAS BEEN PROVIDED. IF FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. WERE THE CASES DISCUSSED IN THIS ARTICLE PREVIOUSLY REPORTED TO ETHICON? IF YES, PLEASE PROVIDE A COMPLAINT REFERENCE NUMBER FOR EACH PATIENT? DOES THE SURGEON BELIEVE THAT ETHICON PRODUCT (GYNEMESH) INVOLVED CAUSED AND/OR CONTRIBUTED TO THE POST-OPERATIVE COMPLICATIONS DESCRIBED IN THE ARTICLE? DOES THE SURGEON BELIEVE THERE WAS ANY DEFICIENCY WITH THE ETHICON PRODUCT (GYNEMESH) INVOLVED? PATIENT DEMOGRAPHICS? THE SINGLE COMPLAINT WAS REPORTED WITH MULTIPLE EVENTS. THERE ARE NO ADDITIONAL DETAILS REGARDING THE ADDITIONAL EVENTS. CITATION: (B)(6). J. UROL. 110(2): 112-118, 2019. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

TITLE: LSC VERSUS UPHOLD TYPE TVM: A CASE CONTROLS STUDY. THE PURPOSE OF THIS STUDY IS TO CONDUCT A COMPARATIVE INVESTIGATION OF THE SHORT-TERM TREATMENT OUTCOMES OF UPHOLD-TYPE TRANSVAGINAL MESH (TVM) SURGERY AND LAPAROSCOPIC SACROCOLPOPEXY (LSC) SURGERY. FROM MAY2017 TO DEC2017, 62 FEMALE PATIENTS WITH PELVIC ORGAN PROLAPSE UNDERWENT SURGERY AND WERE ALLOCATED INTO TWO SURGICAL PROCEDURES: UPHOLD TYPE TVM SURGERY (N=25; AGE OF 77.0 ± 6.0 [63-88] YEARS AND LSC SURGERY (N=37; AGE OF 70 ± 5.0 [61-79] YEARS. IN THE LSC GROUP, GYNE MESH PS WAS USED AS THE MESH. IN THE LSC GROUP, POSTOPERATIVE COMPLICATIONS INCLUDED DE NOVO OVERACTIVE BLADDER SYMPTOM (OAB) (N=1), DE NOVO STRESS URINARY INCONTINENCE (SUI) (N=11) AND WORSENED SUI (N=2). TENSION-FREE VAGINAL TAPE (TVT) WAS ADDED IN TWO PHASES IN ONE CASE IN THE LSC GROUP WHERE THE PATIENT DEVELOPED DE NOVO SUI. OAB SCORE, TOTAL URINARY URGENCY, INTERNATIONAL PROSTATE SYMPTOM SCORE AND RESIDUAL URINE WERE IMPROVED IN BOTH GROUPS. BOTH TYPES OF SURGERY ARE EXPECTED TO IMPROVE LOWER URINARY SYMPTOMS AND CONSIDERED TO BE USEFUL TOOL FOR TREATMENT OF PELVIC ORGAN PROLAPSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
73582 GYNECARE UNKNOWN PRODUCT MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC OTO ETHICON INC.

Patients

Seq Age Sex Outcome Treatment
1