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 |