FDA Adverse Event
Injury
Summary report: N
UNKNOWN SLING
MDR report key: 4922382
·
Received July 17, 2015
Report
- Report Number
- 2183959-2015-00321
- Event Type
- Injury
- Date Received
- July 17, 2015
- Date of Event
- April 3, 2012
- Report Date
- July 7, 2015
- Manufacturer
- AMERICAN MEDICAL SYSTEMS (MN)
- Product Code
- OTN
- PMA / PMN Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GB
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT FOLLOWING THE IMPLANTATION OF AN UNKNOWN SLING, THE PATIENT EXPERIENCED "EXCRUCIATING PAIN, MOBILITY ISSUES, STILL LEAKING MORE THAN WHAT I WAS, PIN/NEEDLES NUMBNESS ON RIGHT LEG, GROIN PAIN". THE PATIENT ALSO ALLEGED THAT SHE EXPERIENCED "MIGRAINES", "MORE INCONTINENCE THAN I HAD CUT TO, MY L[A]BIA...HAD TO RETURN TO HAVE STITCHES 3 DAYS LATER NOW HAVING BOWEL PROBLEMS", "HIP/BACK ARM ELBOW EFFECTED TOO", "ANXIETY, PANIC ATTACKS" AND "DEPRESSION". THE MESH WAS REMOVED. THERE WERE NO FURTHER PATIENT COMPLICATIONS REPORTED IN RELATION TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 465269 | UNKNOWN SLING | UNKNOWN | OTN | AMERICAN MEDICAL SYSTEMS (MN) |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| R |