FDA Adverse Event
Injury
Summary report: N
SPARC SLING SYSTEMS
MDR report key: 1251692
·
Received December 2, 2008
Report
- Report Number
- 2183959-2008-00027
- Event Type
- Injury
- Date Received
- December 2, 2008
- Date of Event
- November 18, 2008
- Report Date
- December 2, 2008
- Manufacturer
- AMERICAN MEDICAL SYSTEMS, INC.
- Product Code
- FTL
- PMA / PMN Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
A PATIENT WHO WAS IMPLANTED WITH SPARC HAS GRAFT EXTRUSION, BLADDER INFECTIONS AND PAIN. SHE WAS PRESCRIBED PYRIDIUM AND MACRODANTIN. ORIGINAL IMPLANT DATE UNKNOWN. A REVISION SURGERY HAS NOT BEEN DETERMINED AT THIS TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SPARC SLING SYSTEMS | SPARC/OTHER SLING TYPES | FTL | AMERICAN MEDICAL SYSTEMS, INC. | 72403656 | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI | Disability |