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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION UPHOLD LITE; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR PELVIC ORGAN PROLAPSE, TRANSVAGIN

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BOSTON SCIENTIFIC CORPORATION UPHOLD LITE; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR PELVIC ORGAN PROLAPSE, TRANSVAGIN Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Erosion (1750); Inflammation (1932); Nerve Damage (1979); Pain (1994); Urinary Tract Infection (2120); Injury (2348); No Code Available (3191)
Event Date 09/25/2014
Event Type  Injury  
Manufacturer Narrative
Date of event: date of event was approximated to (b)(6) 2014 (implant date) as no event date was reported.The complainant was unable to provide the suspect device upn and lot number; therefore, the lot expiration and device manufacture dates are unknown.(b)(4).The complaint device is not expected to be returned for evaluation; therefore, a failure analysis of the complaint device could not be completed.If any further relevant information is identified, a supplemental medwatch will be filed.
 
Event Description
Note: this manufacturer report pertains to the second of two devices implanted during the same procedure.It was reported to boston scientific corporation that an obtryx transobturator mid-urethral sling system and an uphold lite vaginal support system were implanted on (b)(6) 2014 and were explanted on (b)(6) 2019.According to the complainant, post procedure, the patient experienced the following: mesh erosion, chronic pelvic pain, perineal pain and neuropathic pain potentially related to pudendal/obturator neuralgia.Additionally, she also experienced pelvic floor tension myalgia, hip adductor myalgia, complex regional pain syndrome, recurrent urinary tract infections, interstitial cystitis, chronic dyspareunia, bowel and bladder dysfunction, anorectal pain, and has undergone medical and surgical treatment.On (b)(6) 2019, the patient underwent surgical revision of the exposed eroded mesh.
 
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Brand Name
UPHOLD LITE
Type of Device
MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR PELVIC ORGAN PROLAPSE, TRANSVAGIN
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
780 brookside drive
spencer IN 47460
Manufacturer Contact
carole morley
300 boston scientific way
marlborough, MA 01752
5086834015
MDR Report Key9281452
MDR Text Key168077181
Report Number3005099803-2019-05293
Device Sequence Number1
Product Code OTP
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,consum
Reporter Occupation Other
Type of Report Initial
Report Date 11/05/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/05/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Date Manufacturer Received10/09/2019
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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