FDA Adverse Event
Injury
Summary report: N
MONARC SLING
MDR report key: 3870247
·
Received June 6, 2014
Report
- Report Number
- MW5036547
- Event Type
- Injury
- Date Received
- June 6, 2014
- Date of Event
- October 10, 2003
- Report Date
- June 5, 2014
- Manufacturer
- AMS
- Product Code
- OTN
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
MONARC SLING WAS PLACED AROUND MY URETHRA AND IS NOW CAUSING MAJOR PROBLEMS: PROTRUSION, PELVIC PAIN, KIDNEY INFECTIONS, BLADDER INFECTIONS, PAINFUL INTIMACY, KIDNEY STONES, UTI'S, BLEEDING, INNER THIGH AND PUBIC SPASMS, YEAST INFECTION, VOMITING, DIARRHEA, LIGHT HEADEDNESS, FATIGUE, LEG PAIN (UNABLE TO WALK AT TIMES) AND STOMACH PAIN. RELEVANT TESTS: KIDNEY STONES, BLADDER TEST, KIDNEY TEST, UTI AND URINARY TEST, AND BLOOD TEST.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 331517 | MONARC SLING | MONARC SLING | OTN | AMS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR | Hospitalization| R |