FDA Adverse Event Injury Summary report: N

NEOTRACT UROLIFT SYSTEM

MDR report key: 12849499 · Received November 19, 2021

Report

Report Number
3015181082-2021-00038
Event Type
Injury
Date Received
November 19, 2021
Date of Event
October 5, 2021
Report Date
November 19, 2021
Manufacturer
NEOTRACT, INC.
Product Code
PEW
UDI-DI
00814932020001
PMA / PMN Number
K193269
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

ON (B)(6) 2021, NEOTRACT WAS MADE AWARE OF A PATIENT WHO RECEIVED A SUCCESSFUL PROSTATIC URETHRAL LIFT (PUL) PROCEDURE ON (B)(6) 2021. AS A PRE-PROCEDURAL ANTIBIOTIC, THE PATIENT WAS PRESCRIBED ANCEF. IN THE DAYS FOLLOWING THE PROCEDURE (TIMING UNKNOWN), THE PATIENT UNDERWENT EMERGENCY HEMORRHOID SURGERY WHICH UROLOGIST SAID WAS ¿UNRELATED TO THE PUL PROCEDURE.¿ POST HEMORRHOID SURGERY, THE PATIENT EXPERIENCED URINARY RETENTION. ON (B)(6) 2021, HE WAS ADMITTED TO THE HOSPITAL FOR A C. DIFFICILE INFECTION, THOUGHT TO BE RELATED TO THE ANCEF MEDICATION AND NOT TO THE PUL PROCEDURE. CT IMAGING REVEALED AIR IN HIS PELVIS. PATIENT WAS TRANSFERRED TO THE ICU FOR TWO WEEKS FOR UNKNOWN REASONS, HAS SINCE BEEN DISCHARGED AND REPORTED AS DOING WELL. THE UROLOGIST STATED THAT HE BELIEVED THE INFECTION, URINARY RETENTION, AND PELVIC AIR WERE UNRELATED TO THE PUL PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1741556 NEOTRACT UROLIFT SYSTEM UROLIFT SYSTEM PEW NEOTRACT, INC. UROLIFT SYSTEM UNKNOWN 00814932020001

Patients

Seq Age Sex Outcome Treatment
1 Male Hospitalization| R