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 |