ADVANTAGE FIT SYSTEM M0068502110

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-20 for ADVANTAGE FIT SYSTEM M0068502110 manufactured by Boston Scientific.

Event Text Entries

[100694774] Boston scientific, advantage fit system, transvaginal mid-urethral sling, trocar punctured through blue sheath of implant. Unable for implant to be inserted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5075379
MDR Report Key7285634
Date Received2018-02-20
Date of Report2018-02-16
Date of Event2018-02-16
Date Added to Maude2018-02-21
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameADVANTAGE FIT SYSTEM
Generic NameTRANSVAGINAL MID-URETERAL SLING
Product CodePAI
Date Received2018-02-20
Model NumberM0068502110
Catalog NumberM0068502110
Lot Number21182807
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerBOSTON SCIENTIFIC
Manufacturer AddressMARLBOROUGH MA 01752 US 01752


Patients

Patient NumberTreatmentOutcomeDate
10 2018-02-20

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