FDA Adverse Event Injury Summary report: N

POSTERIOR VAGINAL MESH

MDR report key: 3934330 · Received July 10, 2014

Report

Report Number
MW5037237
Event Type
Injury
Date Received
July 10, 2014
Date of Event
June 6, 2014
Report Date
July 9, 2014
Product Code
OTN
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

PRIOR POSTERIOR VAGINAL MESH. AS A NEW PATIENT WAS FOUND TO HAVE EROSION AND DEALT WITH DYSPAREUNIA. SHE DESIRED SURGICAL REMOVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
402513 POSTERIOR VAGINAL MESH VAGINAL MESH OTN

Patients

Seq Age Sex Outcome Treatment
1 81 YR Hospitalization