FDA Adverse Event Injury Summary report: N

NEOTRACT UROLIFT SYSTEM

MDR report key: 11661609 · Received April 13, 2021

Report

Report Number
3015181082-2021-00011
Event Type
Injury
Date Received
April 13, 2021
Date of Event
March 5, 2021
Report Date
April 13, 2021
Manufacturer
NEOTRACT, INC.
Product Code
PEW
UDI-DI
00814932020001
PMA / PMN Number
K193269
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 1

ON 10 MARCH 2021, NEOTRACT WAS MADE AWARE OF A PATIENT THAT UNDERWENT A SUCCESSFUL PROSTATIC URETHRAL LIFT (PUL) PROCEDURE ON (B)(6) 2021. DURING AND AFTER THE PROCEDURE, IT WAS REPORTED THAT THE PATIENT EXPERIENCED BLEEDING WHICH REQUIRED A CATHETER AND HOSPITAL ADMISSION. ON 18 MARCH 2021, NEOTRACT WAS MADE AWARE THAT HE UNDERWENT SEVERAL ASPIRATIONS AND RECEIVED BLOOD TRANSFUSION. ON (B)(6) 2021, HE WAS DISCHARGED AND HE IS REPORTED TO BE DOING WELL AND SATISFIED WITH HIS IMPROVED URINARY FLOW.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
558944 NEOTRACT UROLIFT SYSTEM UROLIFT SYSTEM PEW NEOTRACT, INC. UROLIFT SYSTEM UNKNOWN 00814932020001

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R