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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ADVANTAGE FIT TRANSVAGINAL MID-URETHRAL SLING SYSTEM; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, RETR

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BOSTON SCIENTIFIC CORPORATION ADVANTAGE FIT TRANSVAGINAL MID-URETHRAL SLING SYSTEM; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, RETR Back to Search Results
Model Number M0068502120
Device Problem Therapeutic or Diagnostic Output Failure (3023)
Patient Problems Micturition Urgency (1871); Failure of Implant (1924); Incontinence (1928); Urinary Retention (2119); Burning Sensation (2146); Urinary Frequency (2275)
Event Date 08/16/2022
Event Type  Injury  
Event Description
I had a boston scientific system sling ureteral advantage fit model #m0068502120 surgically implanted.Subsequently, i had urinary frequency, urgency, burning, incontinence and retention that required a second surgery to revise the prosthetic vaginal graft by splitting it to release tension.The urinary symptoms resolved immediately.I have only had this implant inside of me for 9 weeks.Whether i will have other long lasting symptoms is too early to tell.Some soreness that i have in my lower abdomen and right groin and upper thigh may well go away with time.If i continue to experience the symptoms, i will file another report.Fda safety report id #(b)(4).
 
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Brand Name
ADVANTAGE FIT TRANSVAGINAL MID-URETHRAL SLING SYSTEM
Type of Device
MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, RETR
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
MDR Report Key15690661
MDR Text Key302720047
Report NumberMW5112938
Device Sequence Number1
Product Code OTN
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 10/26/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/27/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Model NumberM0068502120
Device Lot Number29660138
Was Device Available for Evaluation? Yes
Patient Sequence Number1
Treatment
ELIQUIS, REPATHA, VASCEPA.; VITAMIN D3, MELATONIN, PRILOSEC.
Patient Outcome(s) Disability; Hospitalization; Required Intervention;
Patient Age71 YR
Patient SexFemale
Patient Weight79 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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