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