Boston Scientific Stress Incontinence Warnings

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Two new warnings are included among revisions Boston Scientific has made to the directions for use for six stress urinary incontinence products. A company announcement says that the first warning states that mesh is considered a permanent implant and removal of mesh or correction of mesh-related complications may involve multiple surgeries. The second warning is that complete removal of mesh may not be possible and additional surgeries may not always fully correct complications.

Two new precautions added to the directions discuss an association of the use of polypropylene mesh in urogynecologic procedures with cases of erosion, and a listing of risk factors that can affect patient outcomes in the pelvic floor.

The company says the revisions are to “enhance patient and physician information regarding the use of our devices and to provide … comprehensive information based on published literature and post-market data.”

Earlier this year, a petition asked FDA to order a recall of the company’s surgical mesh products because they are allegedly made from defective, counterfeit materials from China. Also, shortly after FDA 1/2016 reclassified surgical mesh indicated for pelvic organ prolapse to Class 3 and told manufacturers to submit safety-documented PMAs, an activist claiming to represent thousands of injured women urged that the products be recalled, claiming that the reclassification wasn’t sufficient. The activist said FDA should have included stress urinary incontinence in the reclassification.

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