BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MONARC SLING SYSTEM

    MDR report key: 2181305 · Received July 21, 2011

    Report

    Report Number
    2183959-2011-00269
    Event Type
    Injury
    Date Received
    July 21, 2011
    Date of Event
    July 5, 2011
    Report Date
    July 5, 2011
    Manufacturer
    AMERICAN MEDICAL SYSTEMS, INC.
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE REGARDING THIS EVENT, IT WILL BE RE-EVALUATED AND A FOLLOW-UP REPORT WILL BE SENT.

    Description of Event or Problem · 1

    ON (B)(6) 2004, A MONARC SLING WAS IMPLANTED TO TREAT STRESS URINARY INCONTINENCE. IT WAS REPORTED THAT, "AFTER, AND AS A RESULT OF IMPLANTATION," THE PT EXPERIENCED "SERIOUS BODILY INJURIES, "INCLUDING EXTREME PAIN, EROSION OF INTERNAL BODILY TISSUES AND OTHER INJURIES. ALSO, SHE HAS UNDERGONE "MULTIPLE SURGERIES AND REVISIONARY PROCEDURES."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MONARC SLING SYSTEM SURGICAL MESH FTL AMERICAN MEDICAL SYSTEMS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention| S