FDA Adverse Event Injury Summary report: N

UPHOLD¿ LITE

MDR report key: 5542229 · Received April 1, 2016

Report

Report Number
3005099803-2016-00946
Event Type
Injury
Date Received
April 1, 2016
Report Date
March 3, 2016
Manufacturer
BOSTON SCIENTIFIC - MARLBOROUGH
Product Code
OTP
PMA / PMN Number
K122459
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SE
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

SINCE THE STUDY HAS MULTIPLE CENTERS, THE SITE PROVIDED IS THAT FOR THE AUTHOR-CORRESPONDENT. LITERATURE - EVENT PUBLISHED IN THE FOLLOWING JOURNAL ARTICLE: ALTMAN, D., MIKKOLA, T., BEK, K., RAHKOLA-SOISALO, P., GUNNARSSON, J., ENGH, M., & FALCONER, C. (2016). PELVIC ORGAN PROLAPSE REPAIR USING THE UPHOLD¿ VAGINAL SUPPORT SYSTEM: A 1-YEAR MULTICENTER STUDY. INTERNATIONAL UROGYNECOLOGY JOURNAL. HTTP://DX.DOI.ORG/10.1007/S00192-016-2973-0

Description of Event or Problem · 1

PER THE PUBLISHED JOURNAL ARTICLE, AN UPHOLD LITE VAGINAL SUPPORT SYSTEM WAS IMPLANTED INTO THE PATIENT FOR PELVIC ORGAN PROLAPSE REPAIR ON AN UNSPECIFIED DATE (B)(6) 2012. ACCORDING TO THE ARTICLE, THE PATIENT EXPERIENCED BLADDER EMPTYING DIFFICULTY AFTER THE PROCEDURE. ALL OTHER INFORMATION IS UNKNOWN. SHOULD ADDITIONAL RELEVANT DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
198110 UPHOLD¿ LITE MESH, SURGICAL, SYNTHETIC OTP BOSTON SCIENTIFIC - MARLBOROUGH M0068318170

Patients

Seq Age Sex Outcome Treatment
1 Other