FDA Adverse Event Injury Summary report: N

VESICA PERC STABILIZATION KIT WITH PROTEGEN SLING

MDR report key: 515383 · Received March 11, 2004

Report

Report Number
6000043-2004-00015
Event Type
Injury
Date Received
March 11, 2004
Manufacturer
BOSTON SCIENTIFIC CORP.
Product Code
FHK
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT SUBSEQUENT TO THE IMPLANT OF A PROTEGEN SLING FOR TREATMENT IN 1998. THE PT BEGAN EXPERIENCING INFECTIONS AND EROSION THROUGH VAGINAL WALL IN SEPTEMBER OF 2003. THE SLING WAS REMOVED IN 2003. PT RETURNED TO EXPERIENCING INCONTINENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VESICA PERC STABILIZATION KIT WITH PROTEGEN SLING PERC STABILIZATION KIT FHK BOSTON SCIENTIFIC CORP. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 NA Required Intervention