FDA Adverse Event
Malfunction
Summary report: N
SOLYX BLUE
MDR report key: 24052588
·
Received January 13, 2026
Report
- Report Number
- 2124215-2026-02081
- Event Type
- Malfunction
- Date Received
- January 13, 2026
- Date of Event
- November 5, 2025
- Report Date
- January 13, 2026
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- PAH
- UDI-DI
- 08714729961901
- PMA / PMN Number
- K081275
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
BLOCK H6: IMDRF DEVICE CODE A150205 CAPTURES THE REPORTABLE EVENT OF DIFFICULTY ADVANCING THE DEVICE THROUGH THE PATIENT'S TISSUE.
Description of Event or Problem · 0
IT WAS REPORTED THAT DURING THE PROCEDURE, THE SOLYX DEVICE WAS DIFFICULT TO ADVANCE THROUGH THE PATIENT'S TISSUE. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE AND THERE WERE NO PATIENT COMPLICATIONS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 118166 | SOLYX BLUE | MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, FEMA | PAH | BOSTON SCIENTIFIC CORPORATION | M0068507010 | 0036774955 | 08714729961901 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female |