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| Model Number |
DXT1510AR |
| Medical Device Problem Code |
Adverse Event Without Identified Device or Use Problem (2993)
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| Health Effect - Clinical Codes |
Abdominal Pain (1685); Bacterial Infection (1735); Diarrhea (1811); Encephalopathy (1833); Fatigue (1849); Headache (1880); Hearing Impairment (1881); Nausea (1970); Pain (1994); Tinnitus (2103); Dizziness (2194); Hernia (2240); Discomfort (2330); Depression (2361); Constipation (3274); Suicidal Ideation (4429); Unspecified Blood or Lymphatic problem (4434); Unspecified Eye / Vision Problem (4471); Unspecified Gastrointestinal Problem (4491); Sexual Dysfunction (4510); Unspecified Tissue Injury (4559); Decreased Appetite (4569); Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available (4581); Atrophy (4913)
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Type of Reportable Event
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Serious Injury
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Additional Manufacturer Narrative
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H6 ime e2402: weight loss, ejaculation disorders, testicular atrophy, blood disorders, hypogammaglobulinemia, prostatitis, dysautonomia, deterioration of general condition, anorexia, digestive disorders, weakened ejaculation.Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Event or Problem Description
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The patient¿s attorney alleged a deficiency against the device.The product was used for therapeutic treatment of a inguinal hernia.It was reported that after the implant, the patient experienced weight loss, loss of appetite, chronic fatigue, nausea, headaches, vision problems, hearing problems, tinnitus, dizziness, ejaculation disorders, testicular atrophy, blood disorders, hypogammaglobulinemia, abdominal pain, dysautonomia, deterioration of general condition, anorexia, digestive disorders, constipation, diarrhea, sexual disturbances, weakened ejaculation, pain, depressive syndrome, recurrence, discomfort, prostatitis, <(>&<)> suicidal thoughts.Post-operative patient treatment included ultrasound, hospitalization, mri, <(>&<)> anti-depressants.
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Additional Manufacturer Narrative
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Correction: h6 (added patient codes).Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Additional Manufacturer Narrative
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Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Additional Manufacturer Narrative
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Correction: updated 6da medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Event or Problem Description
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The patient¿s attorney alleged a deficiency against the device.The product was used for therapeutic treatment of a inguinal hernia.It was reported that after the implant, the patient experienced weight loss, loss of appetite, chronic fatigue, nausea, headaches, vision problems, hearing problems, tinnitus, dizziness, ejaculation disorders, testicular atrophy, blood disorders, hypogammaglobulinemia, abdominal pain, dysautonomia, deterioration of general condition, anorexia, digestive disorders, constipation, diarrhea, sexual disturbances, weakened ejaculation, pain, depressive syndrome, recurrence, discomfort, prostatitis, disability, myalgic encephalomyelitis, & suicidal thoughts.Post-operative patient treatment included ultrasound, hospitalization, mri, & anti-depressants.
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Additional Manufacturer Narrative
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Additional information: b2, b5, h6 (added patient and imf code).Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Additional Manufacturer Narrative
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Correction: h6 (added patient codes) e2402: dysautonomia, anorexia, prostatitis, weight loss.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Additional Manufacturer Narrative
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Additional info: b5, d4 (unique identifier (udi) #), h6 (patient codes).Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Event or Problem Description
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The patient¿s attorney alleged a deficiency against the device.The product was used for therapeutic treatment of an inguinal hernia.It was reported that after the implant, the patient experienced weight loss, loss of appetite, chronic fatigue, nausea, headaches, vision problems, hearing problems, tinnitus, dizziness, ejaculation disorders, testicular atrophy, blood disorders, hypogammaglobulinemia, abdominal pain, dysautonomia, deterioration of general condition, anorexia, digestive disorders, constipation, diarrhea, sexual disturbances, weakened ejaculation, pain, depressive syndrome, recurrence, discomfort, prostatitis, disability, myalgic encephalomyelitis, suicidal thoughts.Post-operative patient treatment included ultrasound, hospitalization, mri, anti-depressants.The patient claimed in an interview with an rtl radio host that the mesh implanted in them was contaminated with nosocomial bacterial and they stated they are "dying from exhaustion".
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Additional Manufacturer Narrative
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Correction added h6 ime e2402: hypogammaglobulinemia.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Search Alerts/Recalls
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