BEUDAMED
    FDA Adverse Event Injury Summary report: N

    APOGEE SYSTEM

    MDR report key: 2823876 · Received October 29, 2012

    Report

    Report Number
    2183959-2012-02924
    Event Type
    Injury
    Date Received
    October 29, 2012
    Report Date
    October 5, 2012
    Manufacturer
    AMERICAN MEDICAL SYSTEMS, INC.
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, 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

    RELATED TO MFR REPORT # 2183959-2012-02925. IT WAS REPORTED THAT ON OR ABOUT (B)(6) 2005 A APOGEE GRAFT WAS IMPLANTED WITH THE INTENTION OF TREATING THE PLAINTIFF FOR PELVIC ORGAN PROLAPSE AND/OR STRESS URINARY INCONTINENCE. IT WAS ALLEGED BY THE ATTORNEY FOR THE PLAINTIFF THAT AS A RESULT OF THE IMPLANTED MESH THE PLAINTIFF HAS SUFFERED SERIOUS BODILY INJURIES, INCLUDING, BUT NOT LIMITED TO, EXTREME AND CHRONIC PAIN, EROSION OF HER INTERNAL BODILY TISSUE, EROSION OF MESH DYSPAREUNIA, RECURRING INCONTINENCE, AND REQUIRED ADDITIONAL SURGERY. IT WAS ALSO ALLEGED THAT PLAINTIFF HAS EXPERIENCED SIGNIFICANT MENTAL AND PHYSICAL PAIN AND SUFFERING, HAS REQUIRED MEDICAL TREATMENT AND HAS SUSTAINED PERMANENT INJURY.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R| S PERIGEE GRAFT SYSTEM