FDA Adverse Event
Injury
Summary report: N
BULKAMID
MDR report key: 14288441
·
Received May 4, 2022
Report
- Report Number
- MW5109525
- Event Type
- Injury
- Date Received
- May 4, 2022
- Date of Event
- January 17, 2022
- Report Date
- May 2, 2022
- Manufacturer
- CONTURA INTERNATIONAL A/S
- Product Code
- LNM
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MN, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
I WAS TREATED WITH BULKAMID FOR URINARY LEAKAGE IN (B)(6) 2021. AFTER THE PROCEDURE, I DID HAVE ANY ISSUES UNTIL ABOUT 1 MO LATER AND THEN I STARTED TO GET UTIS. I WAS TREATED WITH ANTIBIOTICS. NOW IN APRIL I CAN'T EMPTY MY BLADDER ALL THE WAY AND HAVE TO URINATE ALL THE TIME. IF I GET UP TO WALK, I HAVE TO GO TO THE BATHROOM EVERY TIME. IT ALSO BURNS WHEN I PEE ALTHOUGH I DON'T HAVE AN UTI. I BELIEVE THE PROCEDURE HAS CREATED NEW ISSUES BESIDE LEAKAGE. I DON'T KNOW IF THEY PUT TOO MUCH IN, WHETHER MY BODY IS SENSITIVE TO THE MATERIAL OR WHETHER MY PROLAPSE HAS WORSEN. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1565591 | BULKAMID | AGENT, BULKING, INJECTABLE FOR GASTRO-UROLOGY USE | LNM | CONTURA INTERNATIONAL A/S |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Female |