UPSYLON Y-MESH LOG226737

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-02-11 for UPSYLON Y-MESH LOG226737 manufactured by Johnson & Johnson / Boston Scientific Corporation.

Event Text Entries

[136246442] I had a prolapsed bladder and rectocele. The doctor implanted mesh to correct the bladder, however did nothing for the rectocele. I started having severe pain in my lower abdominal area after seven doctor? S, a surgeon said that the mesh had to come out. We set up the appointment for (b)(6) 2019, had it removed and will have to have still yet another surgery to correct the bladder and the rectocele in the near future, after healing from this surgery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5083911
MDR Report Key8331749
Date Received2019-02-11
Date of Report2019-02-08
Date of Event2018-06-26
Date Added to Maude2019-02-12
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameUPSYLON Y-MESH LOG226737
Generic NameGYNECOLOGICAL LAPAROSCOPIC KIT
Product CodeOHD
Date Received2019-02-11
Catalog Number226737
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON & JOHNSON / BOSTON SCIENTIFIC CORPORATION


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other; 3. Required No Informationntervention 2019-02-11

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