FDA Adverse Event
Injury
Summary report: N
INFAST SLING SYSTEM
MDR report key: 2802395
·
Received October 19, 2012
Report
- Report Number
- 2183959-2012-02892
- Event Type
- Injury
- Date Received
- October 19, 2012
- Report Date
- October 2, 2012
- Manufacturer
- AMERICAN MEDICAL SYSTEMS, INC.
- Product Code
- FTL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- 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
IT WAS REPORTED BY THE PLAINTIFF'S ATTORNEY THAT THE PLAINTIFF WAS IMPLANTED WITH A INFLUENCE INFAST SYSTEM ON (B)(6) 1999 TO TREAT STRESS URINARY INCONTINENCE AND CYSTOCELE. IT WAS ALLEGED THE PLAINTIFF SUFFERED SERIOUS BODILY INJURIES, INCLUDING PAINFUL SEXUAL INTERCOURSE, DIFFICULTY URINATING, VAGINAL PAIN, BURNING AND INFECTIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INFAST SLING SYSTEM | SURGICAL MESH | FTL | AMERICAN MEDICAL SYSTEMS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention| S | COLOPLAST/MENTOR| TUTOPLAST/SUSPENDED |