FDA Adverse Event Injury Summary report: N

INFLUENCE

MDR report key: 445497 · Received February 26, 2003

Report

Report Number
2183959-2003-00017
Event Type
Injury
Date Received
February 26, 2003
Date of Event
June 30, 2000
Report Date
February 26, 2003
Manufacturer
MANUFACTURED FOR INFLUENCE/AMERICAN MEDICAL SYSTEM, INC.
Product Code
FTL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

"RE-ADMITTED WITH EROSION OF TRANSVAGINAL SLING. IN SURGERY, GRAFT WAS REMOVED, INCISION AND DRAINAGE OF SMALL ABSCESS."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INFLUENCE TRIANGLE GELATIN-SEALED SLING FTL MANUFACTURED FOR INFLUENCE/AMERICAN MEDICAL SYSTEM, INC. * 26896/2C

Patients

Seq Age Sex Outcome Treatment
1 56 YR Hospitalization| R