FDA Adverse Event Other Summary report: N

THE SPANNER TEMPORARY PROSTATIC STENT

MDR report key: 1542584 · Received November 18, 2009

Report

Report Number
3005249627-2009-00003
Event Type
Other
Date Received
November 18, 2009
Date of Event
October 5, 2009
Report Date
November 18, 2009
Manufacturer
ABBEYMOOR MEDICAL INC.
Product Code
NZC
PMA / PMN Number
P060010
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS NOT RETURNED FOR ANALYSIS. METHOD - NOT APPLICABLE (ACTUAL DEVICE WERE NOT EVALUATED). CONCLUSIONS - DEVICE NOT RETURNED - NO EVAL WILL BE PERFORMED.

Description of Event or Problem · 1

WHILE SOLICITING PRODUCT PERFORMANCE FEEDBACK FROM A PT, THE DEVICE MFR LEARNED THE PT HAD GONE TO THE EMERGENCY ROOM (ER) FOR BURNING ON URINATION FOUR DAYS AFTER SPANNER INSERTION. THE PT WAS GIVEN ANTIBIOTICS FOR A URINARY TRACK INFECTION; THE SPANNER STENT WAS NOT REMOVED. THE PT STATED HE WAS FEELING BETTER BY THE NEXT MORNING. HE CONTACTED THE NURSE AT THE PHYSICIAN'S OFFICE TO NOTIFY THEM, THEY STATED THAT THIS WAS FINE AND THAT HE DIDN'T NEED TO COME IN FOR ANY SPECIAL FOLLOW-UP. THE SPANNER STENT WAS INSERTED ON (B)(6) 2009. INDICATION FOR USE WAS URINARY RETENTION. DEVICE REMOVAL DATE IS UNK BUT THE PHYSICIAN STATED THE STENT WAS REMOVED AS SCHEDULE WITH NO UNTOWARD ADVERSE EFFECTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 THE SPANNER TEMPORARY PROSTATIC STENT TEMPORARY PROSTATIC STENT NZC ABBEYMOOR MEDICAL INC. SPNR-6HA 216

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention