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 |