FDA Adverse Event Injury Summary report: N

T-SLING

MDR report key: 3012352 · Received March 7, 2013

Report

Report Number
3003990090-2012-00213
Event Type
Injury
Date Received
March 7, 2013
Date of Event
May 10, 2004
Report Date
December 4, 2012
Manufacturer
HERNIAMESH S.R.L.
Product Code
PAH
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

EVENT WAS REPORTED TO CALDERA MEDICAL BY AN ATTORNEY. LEGAL COMPLAINT STATED THAT PT SUFFERED BODILY INJURIES. INJURIES AND OR SYMPTOMS INCLUDE CHRONIC VAGINAL PAIN, RECURRENCE OF STRESS URINARY INCONTINENCE, VAGINAL BLEEDING AND PAINFUL SEXUAL INTERCOURSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
98378 T-SLING SURGICAL MESH PAH HERNIAMESH S.R.L. T-SLING 0067

Patients

Seq Age Sex Outcome Treatment
1 Other