MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-02-24 for SHELHIGH SHP 555-315 * manufactured by Shelhigh.
[192793]
In 1999, pt underwent transvaginal fascial sling and repair of cystocele using bovine pericardial patch graft. Postop the pt developed burning on urination after resuming marital relations earlier than advised. In 1999, pt had pericardial graft removed and repair of surgical site.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 266590 |
| MDR Report Key | 266590 |
| Date Received | 2000-02-24 |
| Date of Report | 2000-02-24 |
| Date of Event | 1999-10-05 |
| Date Facility Aware | 2000-02-14 |
| Report Date | 2000-02-24 |
| Date Reported to FDA | 2000-02-24 |
| Date Added to Maude | 2000-03-06 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SHELHIGH |
| Generic Name | BOVINE PERICARDIAL PATCH |
| Product Code | MFX |
| Date Received | 2000-02-24 |
| Model Number | SHP 555-315 |
| Catalog Number | * |
| Lot Number | 980904-SHP |
| ID Number | * |
| Device Availability | * |
| Device Age | 2 MO |
| Implant Flag | Y |
| Date Removed | V |
| Device Sequence No | 1 |
| Device Event Key | 258083 |
| Manufacturer | SHELHIGH |
| Manufacturer Address | * MILBURN NJ 07041 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2000-02-24 |