FDA Adverse Event Other Summary report: N

BOSTON SCIENTIFIC

MDR report key: 583274 · Received March 8, 2005

Report

Report Number
583274
Event Type
Other
Date Received
March 8, 2005
Date of Event
March 7, 2005
Report Date
March 8, 2005
Manufacturer
BOSTON SCIENTIFIC
Product Code
FTL
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US

Narratives

Description of Event or Problem · 1

THE SURGEON WAS ATTEMPTING TO PLACE A TRANSVAGINAL MID URETHRAL SLING SYSTEM INTO A PATIENT WHEN A PIECE OF THE SLING BROKE OFF AND WAS LEFT IN THE PATIENT. A C-ARM FLUORO (FLUOROSCOPY) UNIT HAD TO BE USED TO LOCATE THE BROKEN PART. IT WAS THEN REMOVED FROM THE PATIENT. THE PATIENT WAS NOT HARMED BY THIS DEFECT, BUT THE SURGERY TIME WAS EXTENDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BOSTON SCIENTIFIC MID URETHRAL SLING SYSTEM FTL BOSTON SCIENTIFIC OBTRYX HALO OML4120102

Patients

Seq Age Sex Outcome Treatment
1 74 YR