FDA Adverse Event Injury Summary report: N

PERIGEE MESH

MDR report key: 2932581 · Received January 25, 2013

Report

Report Number
MW5028747
Event Type
Injury
Date Received
January 25, 2013
Date of Event
July 26, 2012
Report Date
January 14, 2013
Manufacturer
*
Product Code
OTP
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN ASSISTANT

Narratives

Description of Event or Problem · 1

PT HAD VAGINAL DISCHARGE, PAIN, URGENCY, AND RECURRENT UTIS BY ADVANTAGE FIT RETROPUBIC MIDURETERAL SLING, AND PERIGEE MESH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
36200 PERIGEE MESH MESH OTP * * *
36201 ADVANTAGE FIT MIDURETHRAL SLING FTL * * *

Patients

Seq Age Sex Outcome Treatment
1 60 YR Hospitalization