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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION OBTRYX SYSTEM; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, RETR

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BOSTON SCIENTIFIC CORPORATION OBTRYX SYSTEM; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, RETR Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Erosion (1750); Nerve Damage (1979); Pain (1994); Depression (2361); Disability (2371); Numbness (2415); No Code Available (3191)
Event Date 05/25/2016
Event Type  Injury  
Manufacturer Narrative
The complainant was unable to provide the suspect device lot number; therefore, the lot expiration and device manufacture dates are unknown.(b)(4).Tga device incident report reference no (b)(4); submitted to tga (therapeutic goods administration) by a healthcare professional/user.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
It was reported to boston scientific corporation that a boston scientific obtryx sling was implanted into the patient during a prolapse colpopexy vaginal repair, cystocele and rectocele procedures performed on (b)(6) 2016.According to the patient, right after the implantation, there was a pain in the right leg and could not be moved for 48 hours.Towards the end of the year, the patient has suffered mesh erosion.In (b)(6) 2016, the patient had a second surgery and it caused pudendal neuralgia and further mesh erosion.The patient has also suffered pain with sitting, standing and walking.Pain in the tailbone, lower back, rectal and perineum, genital numbness and tingling.It was less painful after bowel movement but the pain magnifies if the patient was constipated.Vulva area was bright red and less painful with no underwear.The pain throbs if sitting too long or standing.The patient has also experienced disabilities; could not go for a walk and unable to work.Additionally, the patient was taking panadol, tramadol, lyrica during the night and panadiene forte every 4 hours during the day.Boston scientific has been unable to obtain additional information regarding the event.
 
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Brand Name
OBTRYX SYSTEM
Type of Device
MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR STRESS URINARY INCONTINENCE, RETR
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 Key10898925
MDR Text Key218235761
Report Number3005099803-2020-05667
Device Sequence Number1
Product Code OTN
Combination Product (y/n)N
PMA/PMN Number
K040787
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial
Report Date 11/24/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 05/01/2017
Initial Date FDA Received11/24/2020
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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