BOSTON SCIENTIFIC ADVANTAGE FIT 850-2110

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-01-14 for BOSTON SCIENTIFIC ADVANTAGE FIT 850-2110 manufactured by Boston Scientific.

Event Text Entries

[21011922] I had tvt bladder sling surgery in (b)(6) 2010, and immediately noticed a pull in my groin. I had a catheter remain in my body with serious infections for nine weeks until a second surgery was performed (b)(6), 2010, to cut the mesh. It took several weeks of self cath and bladder spasms before i gained use of my bladder but i am still incontinent. Since the second surgery, leg and thigh pain increased over months and moved into my hip and buttocks. I now use a walking stick to walk. I had an emg which did not show anything, but i cannot afford more tests as i do not have insurance. I am in constant pain every day and this has stopped me working or being productive. I am a cripple from this product.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5019061
MDR Report Key1969284
Date Received2011-01-14
Date of Report2011-01-14
Date of Event2010-03-09
Date Added to Maude2011-02-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBOSTON SCIENTIFIC
Generic NameADVANTAGE FIT TRANSVAGINAL TAPE
Product CodeMCA
Date Received2011-01-14
Model NumberADVANTAGE FIT
Catalog Number850-2110
Lot NumberOML9092101
Device Expiration Date2012-09-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerBOSTON SCIENTIFIC


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2011-01-14

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