FDA Adverse Event Injury Summary report: N

OBTRYX SYSTEM

MDR report key: 2233226 · Received September 2, 2011

Report

Report Number
3005099803-2011-02992
Event Type
Injury
Date Received
September 2, 2011
Date of Event
April 21, 2011
Report Date
August 12, 2011
Manufacturer
BOSTON SCIENTIFIC - MARLBOROUGH
Product Code
FTL
PMA / PMN Number
K040787
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GB
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT THE PROCEDURE WAS A TRANSVAGINAL MESH FOR STRESS URINARY INCONTINENCE PROCEDURE. THE INITIAL PROCEDURE WAS COMPLETED WITH THIS DEVICE WITH NO PATIENT COMPLICATIONS AND THE PATIENT'S CONDITION IMMEDIATELY POST PROCEDURE WAS REPORTED TO BE "OKAY." THE PATIENT AGE WAS REPORTED TO BE OVER 18. THE IMPLANTING PHYSICIAN REPORTED THAT THE PATIENT'S STITCHES DID NOT HOLD AND THAT THE MESH WAS EXPOSED RATHER THAN ERODED. THE PATIENT DID NOT REPORT ANY LEG SWELLING TO THE PHYSICIAN AND WAS NOT PRESCRIBED ANY MEDICATION FOR SWELLING. IT WAS REPORTED THAT THE DEVICE WAS REMOVED FROM THE PATIENT IN (B)(6) 2011. THE PHYSICIAN DOES NOT PLAN ON PROVIDING FURTHER MEDICAL INTERVENTION AND THE PATIENT'S CARE HAS BEEN TRANSFERRED TO ANOTHER PHYSICIAN. THE PATIENT WAS REPORTED TO BE OBESE.

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT AN OBTRYX CURVED TRANSOBTURATOR SLING SYSTEM WAS USED DURING A PROCEDURE ON (B)(6), 2011. ACCORDING TO THE COMPLAINANT, IMMEDIATELY POST PROCEDURE, THE PATIENT FELT UNWELL. THE PATIENT EXPERIENCED EROSION, GROIN PAIN, LEG SWELLING, BLADDER AND BOWEL PROBLEMS, DIZZY SPELLS, CONSTANT PAIN, AND WORSE LEAKAGE. THE DATE OF ONSET FOR EACH IS UNKNOWN. IT WAS REPORTED THAT PART OF THE DEVICE WAS REMOVED AT AN UNKNOWN DATE. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION HAVE BEEN UNSUCCESSFUL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OBTRYX SYSTEM MESH, SURGICAL, POLYMERIC FTL BOSTON SCIENTIFIC - MARLBOROUGH M0068504000

Patients

Seq Age Sex Outcome Treatment
1 Other