FDA Adverse Event Injury Summary report: N

SOLYX SIS SYSTEM

MDR report key: 3071216 · Received April 22, 2013

Report

Report Number
3005099803-2013-02785
Event Type
Injury
Date Received
April 22, 2013
Report Date
March 26, 2013
Manufacturer
BOSTON SCIENTIFIC - MARLBOROUGH
Product Code
FTL
PMA / PMN Number
K081275
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT THE PATIENT WAS IMPLANTED WITH A SOLYX SINGLE INCISION SLING SYSTEM FOR HER STRESS URINARY INCONTINENCE DURING A PROCEDURE ON (B)(6) 2011. ACCORDING TO THE PATIENT, HER URINE LEAKAGE WAS NOT COMPLETELY ELIMINATED, AND SHE BEGAN EXPERIENCING DYSPAREUNIA SHORTLY AFTER THE IMPLANTATION PROCEDURE, WHICH VARIED FROM SEVERE STABBING TO DULL ACHING. IN ADDITION, HER PARTNER REPORTEDLY COULD FEEL THE SLING DURING INTERCOURSE AND EXPERIENCED PAIN AND SCRATCHING. THE PATIENT FOLLOWED UP WITH THE PHYSICIAN ON MULTIPLE OCCASIONS, AND THE PHYSICIAN WAS REPORTEDLY ABLE TO "RECREATE" THE PAIN AND SCRATCHING SENSATIONS, BUT NOTED THERE WAS NO EXPOSURE, PROTRUSION, OR EROSION OF ANY KIND. THE PATIENT WAS PRESCRIBED HYDROCODONE (15 TABLETS) FOR HER PAIN. SHE CONTINUED TO EXPERIENCE CONSISTENT DYSPAREUNIA AND GENERAL DISCOMFORT FOLLOWING INTERCOURSE. REPORTEDLY, THE PHYSICIAN DOES NOT KNOW THE CAUSE OF HER COMPLICATIONS. ON (B)(6) 2013, THE PATIENT UNDERWENT A TOTAL MESH EXPLANTATION BY THE IMPLANTING PHYSICIAN. THE PROCEDURE WAS COMPLETED WITH NO ISSUES AND THE MESH WAS COMPLETELY REMOVED. POST-EXPLANTATION, THE PATIENT REPORTEDLY STILL HAS PAIN AND GENERAL DISCOMFORT, AND WAS PRESCRIBED ANOTHER ROUND OF HYDROCODONE (30 TABLETS). ALL OTHER INFORMATION IS UNKNOWN. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION HAVE BEEN UNSUCCESSFUL. SHOULD ADDITIONAL RELEVANT DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
171698 SOLYX SIS SYSTEM MESH, SURGICAL, POLYMERIC FTL BOSTON SCIENTIFIC - MARLBOROUGH M0068507000 ML00000191

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention