FDA Adverse Event Injury Summary report: N

PERIGEE SYSTEM

MDR report key: 2940564 · Received January 30, 2013

Report

Report Number
2183959-2013-00489
Event Type
Injury
Date Received
January 30, 2013
Report Date
January 7, 2013
Manufacturer
AMERICAN MEDICAL SYSTEMS, INC.
Product Code
FTL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

LITERATURE: REISENAUER C., VIRECK V, MESH-RELATED COMPLICATIONS IN UROGYNECOLOGY - A MULTIDISCIPLINARY CHALLENGE. ACTA OBSTET GYNECOL SCAND 2012;91:869-872. SHOULD ADDITIONAL INFO BECOME AVAILABLE REGARDING THIS EVENT IT WILL BE RE-EVALUATED AND A FOLLOW-UP REPORT WILL BE SENT AS APPROPRIATE.

Description of Event or Problem · 1

IT WAS REPORTED THAT A (B)(6) WOMAN WITH UTERINE PROLAPSE AND CYSTOCELE WAS TREATED WITH VAGINAL HYSTERECTOMY AND A PERIGEE DEVICE. ADDITIONAL INFO PROVIDED INDICATES THAT THE PT SUFFERED FROM VAGINAL DISCHARGE FOR ONE YEAR FOLLOWING SURGERY, IN SPITE OF LOCAL AND SYSTEMIC ANTIBIOTIC THERAPIES AND LOCAL ANTISEPTIC THERAPIES. THE EXAMINATION REVEALED MESH EROSION (EXPOSURE) WITH SIGNS OF INFECTION. AFTER EXCISION OF THE ERODED PART OF THE MESH, THE WOUND HEALED WITHOUT PROBLEMS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
40712 PERIGEE SYSTEM SURGICAL MESH FTL AMERICAN MEDICAL SYSTEMS, INC.

Patients

Seq Age Sex Outcome Treatment
1 38 YR Hospitalization| R