FDA Adverse Event
Injury
Summary report: N
PROACT ADJUSTABLE CONTINENCE THERAPY FOR MEN
MDR report key: 11896882
·
Received May 27, 2021
Report
- Report Number
- 3003477176-2021-00005
- Event Type
- Injury
- Date Received
- May 27, 2021
- Date of Event
- May 12, 2021
- Report Date
- May 27, 2021
- Manufacturer
- UROMEDICA, INC.
- Product Code
- EZY
- PMA / PMN Number
- P130018
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
URINARY RETENTION WAS PRESENT IMMEDIATELY AFTER THE DEVICE IMPLANT PROCEDURE. WITH THE INTERVENTION OF CATHETERIZATION, THE PATIENT'S URINARY RETENTION WAS RESOLVED WITHIN 2 DAYS. (B)(4).
Description of Event or Problem · 1
URINARY RETENTION IN A PROACT PATIENT. PATIENT WAS TREATED WITH A FOLEY CATHETER AND URINARY RETENTION WAS RESOLVED WITH NO RESIDUAL EFFECTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 790265 | PROACT ADJUSTABLE CONTINENCE THERAPY FOR MEN | PROACT | EZY | UROMEDICA, INC. | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |