FDA Adverse Event
Injury
Summary report: N
TENSION FREE VAGINAL TAPE
MDR report key: 709428
·
Received May 5, 2006
Report
- Report Number
- 2210968-2006-00348
- Event Type
- Injury
- Date Received
- May 5, 2006
- Report Date
- April 6, 2006
- Manufacturer
- ETHICON, INC.
- Product Code
- FTL
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE PATIENT UNDERWENT A SLING PROCEDURE IN 2005. THERE WERE NO INTRAOPERATIVE OR IMMEDIATE POSTOPERATIVE COMPLICATIONS, AND THE PATIENT HAD A NORMAL VOIDING PATTERN. THE PATIENT WAS DISCHARGED ONE DAY LATER AND THERE WERE NO COMPLAINTS OR UNDUE EVENTS AT THE 8-WEEK FOLLOW UP VISIT. AT THE 6-MONTH REVIEW, THE PATIENT COMPLAINED OF DE-NOVO URGENCY OF MILD SEVERITY WITH AN ONSET OF 12/2005. THE PATIENT WAS TREATED WITH DITROPAN FROM 12/2005 TO 03/2006 AND WITH CERIS FROM 03/2006 TO PRESENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TENSION FREE VAGINAL TAPE | MESH, SURGICAL, POLYMERIC | FTL | ETHICON, INC. | NA | 1290519 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Required Intervention |