FDA Adverse Event Injury Summary report: N

AMS ADVANCE MALE SLING SYSTEM

MDR report key: 3962836 · Received July 29, 2014

Report

Report Number
2183959-2014-00326
Event Type
Injury
Date Received
July 29, 2014
Report Date
December 30, 2013
Manufacturer
AMERICAN MEDICAL SYSTEMS (MN)
Product Code
OTM
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT HAD ADVANCE SLING EROSION BECAUSE THE SLING WAS "IMPLANTED TOO PROXIMAL". THIS SLING WAS EXPLANTED ON AN UNKNOWN DATE. NO ADDITIONAL PATIENT COMPLICATIONS WERE REPORTED IN RELATION TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
442025 AMS ADVANCE MALE SLING SYSTEM SURGICAL MESH OTM AMERICAN MEDICAL SYSTEMS (MN)

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R