BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARIS TRANS-OBTURATOR

    MDR report key: 3832089 · Received February 7, 2014

    Report

    Report Number
    2125050-2014-00175
    Event Type
    Injury
    Date Received
    February 7, 2014
    Date of Event
    February 19, 2013
    Report Date
    February 6, 2014
    Manufacturer
    COLOPLAST A/S
    Product Code
    FTL
    PMA / PMN Number
    K050148
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    ATTORNEY

    Narratives

    Additional Manufacturer Narrative · 1

    COLOPLAST HAS NOT BEEN PROVIDED ANY CORROBORATING EVIDENCE TO VERIFY THE INFO CONTAINED IN THIS REPORT.

    Description of Event or Problem · 1

    AS REPORTED TO COLOPLAST THOUGH NOT VERIFIED, PT WAS IMPLANTED WITH ARIS MESH. LATER THE PT EXPERIENCED CHRONIC UTERINE BLEEDING, ABDOMINAL AND PELVIC PAIN, PALLOR, MESH EROSION, DYSPAREUNIA, BLEEDING AFTER INTERCOURSE, AND STRESS URINARY INCONTINENCE. A CYSTOSCOPY, INSERTION, AND REMOVAL OF BILATERAL URETHRAL STENTS AND A REVISION OF THE MESH WERE PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    80029 ARIS TRANS-OBTURATOR POLYMERIC SURGICAL MESH FTL COLOPLAST A/S 5195511400 2428138

    Patients

    Seq Age Sex Outcome Treatment
    1 Other