FDA Adverse Event
Malfunction
Summary report: N
GYNCARE TVT EXACT
MDR report key: 5297591
·
Received December 15, 2015
Report
- Report Number
- 5297591
- Event Type
- Malfunction
- Date Received
- December 15, 2015
- Date of Event
- August 27, 2014
- Report Date
- November 12, 2015
- Manufacturer
- ETHICON, INC.
- Product Code
- PAH
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PREOPERATIVE DIAGNOSIS: VOIDING DYSFUNCTION FOLLOWING TVT MIDURETHRAL SLING. POSTOPERATIVE DIAGNOSIS: SAME. PROCEDURE: MIDURETHRAL SLING REVISION AND CYSTOURETHROSCOPY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 827686 | GYNCARE TVT EXACT | MESH, SURGICAL, GYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, FEMALE | PAH | ETHICON, INC. | 3749314 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 0 YR |