BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMS ELEVATE POSTERIOR PROLAPSE REPAIR SYSTEM WITH INTEPRO LITE

    MDR report key: 4090656 · Received September 15, 2014

    Report

    Report Number
    2183959-2014-00406
    Event Type
    Injury
    Date Received
    September 15, 2014
    Date of Event
    June 4, 2013
    Report Date
    August 20, 2014
    Manufacturer
    AMERICAN MEDICAL SYSTEMS (MN)
    Product Code
    OTP
    PMA / PMN Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    RELATED TO MFR. REPORT NO.: 2183959-2014-00404, 2183959-2014-00405, 2183959-2014-00407. IT WAS REPORTED THE PATIENT EXPERIENCED FREQUENCY AND URGENCY OF MICTURITION FOLLOWING THE IMPLANTATION OF AN ELEVATE PC POSTERIOR GRAFT. PHYSIOTHERAPY WAS DONE ON (B)(6) 2013. THE EVENT RESOLVED ON (B)(6) 2013. NO FURTHER COMPLICATIONS WERE REPORTED IN RELATION TO THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    569726 AMS ELEVATE POSTERIOR PROLAPSE REPAIR SYSTEM WITH INTEPRO LITE SURGICAL MESH OTP AMERICAN MEDICAL SYSTEMS (MN)

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention ELEVATE PC ANTERIOR