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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. TENSION FREE VAGINAL TAPE UNKNOWN PRODUCT; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC

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ETHICON INC. TENSION FREE VAGINAL TAPE UNKNOWN PRODUCT; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC Back to Search Results
Device Problem Migration (4003)
Patient Problems Adhesion(s) (1695); Autoimmune Disorder (1732); Erosion (1750); Hemorrhage/Bleeding (1888); Incontinence (1928); Nerve Damage (1979); Pain (1994); Urinary Tract Infection (2120)
Event Date 09/29/2012
Event Type  Injury  
Manufacturer Narrative
(b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon inc, or its employees that the report constitutes an admission that the product, ethicon inc, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.To date it has been reported that the device will not be returned.If the device or further details are received at a later date a supplemental medwatch will be sent.H6 component code: g07002 ¿ device not returned.
 
Event Description
It was reported that a patient underwent a gynecological procedure on (b)(6) 2012 and mesh was implanted.The patient reported, hours after the mesh was inserted the bladder was completely restricted (too tight).The patient was left with constant utis, home deliveries of catheters and enormous stress.The patient was told the mesh was too tight.It was cut in half then and the bladder was lifted.The patient further reported that the mesh had already eroded into the bladder and caused bleeding.Terrible pain continued and the patient saw a mesh removal consultant who said the mesh had eroded into the walls of the vagina, bowel and pubus muscle.The patient experienced autoimmune problems in the feet, esophagus and skin as the body was trying to attack the mesh.The patient underwent removal in two parts and stated the surgeries were long and complex.The patient had to have a bladder lift but due to nerve damage from the mesh and surgeries, the patient experienced double leakage and pain in the foot.The patient has since had to have a large adhesion removed due to surgeries and the mesh that was stuck to the bladder and bowel.The patient is still receiving treatment and has been referred to a neurologist.The patient continues to struggle with excruciating pain inside.No further information is available as the reporter contact details were not disclosed.
 
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Brand Name
TENSION FREE VAGINAL TAPE UNKNOWN PRODUCT
Type of Device
MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 08869
Manufacturer (Section G)
ETHICON SARL-NEUCHATEL
puits-godet 20
neuchatel 2000
SZ   2000
Manufacturer Contact
elba bello
1000 route 202
raritan, NJ 08869
9083863534
MDR Report Key18758523
MDR Text Key336002341
Report Number2210968-2024-01668
Device Sequence Number1
Product Code OTN
Combination Product (y/n)N
Reporter Country CodeUK
PMA/PMN Number
K974098
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Consumer
Reporter Occupation Other
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/22/2024
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 Received02/13/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age65 YR
Patient SexFemale
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