FDA Adverse Event
Injury
Summary report: N
C.R. BARD ALYTE Y MESH POLYPROPLENE
MDR report key: 3893855
·
Received June 19, 2014
Report
- Report Number
- MW5036790
- Event Type
- Injury
- Date Received
- June 19, 2014
- Date of Event
- August 6, 2012
- Report Date
- June 18, 2014
- Manufacturer
- C.R. BARD
- Product Code
- OTO
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
I HAD BARD Y-MESH IMPLANTED FOR A PELVIC ORGAN PROLAPSE. SINCE THAT DATE, I HAVE HAD URINARY RETENTION. I HAD TO BE SHOWN HOW TO SELF-CATHERIZE. I HAVE HAD VAGINAL PAIN, ABDOMINAL PAIN, PAIN WITH INTERCOURSE, LOW BACK PAIN, BLEEDING AND GENERAL FEELING OF FATIGUE. CHRONIC INFLAMMATION AND CHRONIC ABDOMINAL AND LOW BACK PAIN, VAGINAL PAIN/PRESSURE, BLEEDING, URINARY RETENTION (I HAVE TO SELF-CATHERIZE).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 362122 | C.R. BARD ALYTE Y MESH POLYPROPLENE | C.R. BARD ALYTE Y MESH POLYPROPLENE | OTO | C.R. BARD | Y500 | HUWD1008 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR | Hospitalization| O| S | IMITREX| VIT B12 INJECTIONS| PROBIOTIC| CITRACEL| VIT D| FIROICET| NEURONTIN| KONOPIN| ZANAFLEX| MAGNESIUM| VICODIN |