The sample was not returned.The lot number is unknown; therefore, the device history record could not be reviewed.The instructions for use which accompanies all devices currently addresses potential risks associated with surgically implanted materials.The instructions for use states in the adverse events: ¿the pelvilace¿ biourethral support system is for single-patient use only and is to be implanted surgically.Do not use the pelvilace¿ biourethral support system if the integrity of the packaging appears compromised.The pelvilace¿ biourethral support system pelvicol® implant should be hydrated or moist when the package is opened.Dehydrated or dry tissue should not be implanted.Postoperative retropubic bleeding may occur in some patients and must be controlled prior to patient release.The pelvilace¿ biourethral support system procedure requires diligent attention to anatomical structure and care to avoid puncture of large vessels, nerves, bladder, and bowel, during needle passage.Proper placement of the pelvilace¿ biourethral support system at mid-urethra requires that the tissue lie flat with minimal or no tension under the urethra.The pelvilace¿ biourethral support system is intended as a single-use, disposable device.Do not resterilize any portion of the pelvilace¿ biourethral support system.Patients should be advised that pregnancy following an pelvilace¿ biourethral support system procedure may negatively affect the success of the previous procedure and incontinence may reoccur.The safety and effectiveness of pelvilace¿ biourethral support system has not been established for the treatment of stress urinary incontinence in males and children under the age of 18.¿ (b)(4).Device evaluated by manufacturer? sample not received.
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The patient's attorney alleged a deficiency against the device.It was reported by the patient's attorney that as a result of having the product implanted, the patient has experienced stress urinary incontinence, pelvic pain, erosion, abdominal pain, vaginal bleeding (blood loss), unspecified perforation, recurrence, pelvic organ prolapse, migration and extrusion, unspecified neuromuscular problems, fistulae, foreign body in patient, urethra disorder, female genital prolapse, difficulty with bowel movements, dizziness and weakness, rectal bleed secondary to hemorrhoids, constipation, urinary tract infections, suprapubic cystotomy, fibrotic bladder neck, placement of rectus fascia sling, bilateral nonobstructive renal calculi, pain with urination and bowel movements; lower left anterior abdomen surgical scar defect with fluid collection, a small hiatal hernia, required nonsurgical interventions and surgical intervention.
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