FDA Adverse Event Injury Summary report: N

AMS ADVANCE MALE SLING SYSTEM

MDR report key: 4020035 · Received August 19, 2014

Report

Report Number
2183959-2014-00369
Event Type
Injury
Date Received
August 19, 2014
Report Date
July 22, 2014
Manufacturer
AMERICAN MEDICAL SYSTEMS (MN)
Product Code
OTM
PMA / PMN Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT A PATIENT WAS IMPLANTED WITH AN ADVANCE URINARY INCONTINENCE SLING DEVICE. AFTER IMPLANTATION THE INCONTINENCE STATUS OF THE PATIENT WAS REPORTEDLY WORSE. SUBSEQUENTLY ON (B)(6) 2014 PATIENT WAS IMPLANTED WITH AN ALTERNATIVE CONTINENCE DEVICE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
497365 AMS ADVANCE MALE SLING SYSTEM SURGICAL MESH OTM AMERICAN MEDICAL SYSTEMS (MN)

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R