MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2020-03-23 for ALYTE Y-MESH GRAFT Y500 manufactured by C.r. Bard, Inc. (covington) -1018233.
[188338998]
The sample was not returned. The finished product met all specifications prior to being released for general distribution. The instructions for use which accompanies all devices currently addresses potential risks associated with surgically implanted materials. The instructions for use states in the adverse events:? Complications associated with the proper implantation of the alyte? Y-mesh graft may include, but are not limited to those typically associated with surgically implantable materials including:postoperative hematoma, seroma, abscess or fistula formation, or scarring which may occur following the implant procedure. Urinary retention, bladder outlet obstruction and other voiding and defecatory dysfunctions. These conditions may be associated with over-correction/too much tension placed on the implant. Perforations or lacerations of vessels, nerves, bladder, bowel, urethra, rectum, or any viscera, which may occur during the implantation procedure. Irritation at the operative wound site which may elicit a foreign body response that leads to wound dehiscence, inflammation and/or infection. Extrusion through vaginal epithelium or erosion into surrounding viscera and/or mucosa. Inflammation, sensitization, pain, dyspareunia, scarification, contraction, device migration and failure of the procedure resulting in recurrence of vaginal wall prolapse. Urinary incontinence (stress and urge). " (b)(4).
Patient Sequence No: 1, Text Type: N, H10
[188338999]
The patient's attorney alleged a deficiency against the device. Per additional information received, the patient has experienced pain, bruising around umbilicus, failed voiding trial, post void residual (urinary retention), sinus bradycardia, unable to void, foley catheter re-insertion, burning pain (burning sensation), urinary incontinence, back pain, cystocele (prolapse), pessary use, right leg tingling sensation, pelvic pain, dysuria, feels she can? T empty bladder all the way, hip pain, blood in urine, inflammation, problems walking (ambulation difficulties), headaches, incisional pain, purulent drainage, candidiasis (fungal infection), cellulitis (bacterial infection) and nonsurgical interventions, pain, infection, urinary problems, urinary incontinence, recurrence, anxiety disorder and mania, bipolar, mood swings, chronic pain syndrome, diabetes mellitus type 2, hyperglycemia, chronic obstructive disease/restrictive lung disease (copd), joint pain/right hip pain/polyarthralgias (joint pain), sciatica, hip/back pain, hyperlipidemia/hypercholesterolemia, insomnia, elevated blood pressure/hypertension, swollen glands/sore throat, stomach spasms, right leg tingling sensation (tingling),? Feels like she can? T empty bladder all the way? (urinary retention), weight gain/weight loss (weight flux), suprapubic pain/pelvic pain (abdominal pain), dysuria, cystocele (prolapse), hematuria, acute bronchitis, headaches, thyroid goiter (thyroid problems), surgical wound with scant purulent drainage, candidiasis (fungal infection), bacteria in urine (bacterial infection) (urinary tract infection), required additional non-surgical interventions, candidiasis, chronic constipation, feelings of incomplete bladder emptying, increased pain in hip and back area, suprapubic pain, pessary trial, pelvic pain, dysuria, urinary incontinence, and anemia requiring a transfusion, urinary tract infections, kidney problems, sharp stomach pain, internal bleeding, lack of bowel control, diarrhea, blood in stool requiring blood transfusion, bowel obstruction, dyspareunia and hernias.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1018233-2020-02006 |
| MDR Report Key | 9866238 |
| Report Source | OTHER |
| Date Received | 2020-03-23 |
| Date of Report | 2020-03-23 |
| Date Mfgr Received | 2020-03-03 |
| Device Manufacturer Date | 2013-02-01 |
| Date Added to Maude | 2020-03-23 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | ANGELA ROBINSON |
| Manufacturer Street | 8195 INDUSTRIAL BLVD |
| Manufacturer City | COVINGTON GA 30014 |
| Manufacturer Country | US |
| Manufacturer Postal | 30014 |
| Manufacturer Phone | 7707846100 |
| Manufacturer G1 | C.R. BARD, INC. (COVINGTON) -1018233 |
| Manufacturer Street | 8195 INDUSTRIAL BLVD |
| Manufacturer City | COVINGTON GA 30014 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 30014 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ALYTE Y-MESH GRAFT |
| Generic Name | ALYTE Y-MESH GRAFT |
| Product Code | OTO |
| Date Received | 2020-03-23 |
| Model Number | Y500 |
| Catalog Number | Y500 |
| Lot Number | HUXA1441 |
| Device Expiration Date | 2015-02-28 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | 3 MO |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | C.R. BARD, INC. (COVINGTON) -1018233 |
| Manufacturer Address | 8195 INDUSTRIAL BLVD COVINGTON GA 30014 US 30014 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2020-03-23 |