BEUDAMED
    FDA Adverse Event Injury Summary report: N

    THE SPANNER TEMPORARY PROSTATIC STENT

    MDR report key: 16603232 · Received March 23, 2023

    Report

    Report Number
    1000305746-2023-00002
    Event Type
    Injury
    Date Received
    March 23, 2023
    Date of Event
    October 15, 2014
    Report Date
    March 23, 2023
    Manufacturer
    SRS MEDICAL
    Product Code
    NZC
    PMA / PMN Number
    P060010
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    WHEN THIS EVENT WAS INITIALLY RECEIVED, OUR PROCEDURES FOR DETERMINING MDR DID NOT CHARACTERIZE THIS EVENT AS REPORTABLE IN ACCORDANCE WITH 21 CFR 803.3(W). WE HAVE RECENTLY REVISED OUR PROCEDURES TO BROADEN THE INTERPRETATION OF 21 CFR 803.3(W)(3) AND ARE RETROSPECTIVELY REPORTING PREVIOUS EVENTS DATING BACK TO 2013.

    Description of Event or Problem · 0

    A TEMPORARY PROSTATIC STENT WAS PLACED ON (B)(6) 2014. ON (B)(6) 2014, THE PATIENT REPORTED THAT THE STENT WAS EXPELLED DURING A VOID. THE PATIENT RECEIVED A REPLACEMENT STENT. THERE WAS NO REPORTED INJURY BUT IT IS BELIEVED THAT THE PATIENT WAS UNABLE TO VOID UNTIL THE REPLACEMENT STENT WAS PLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    690891 THE SPANNER TEMPORARY PROSTATIC STENT STENT, URETHRAL, PROSTATIC, SEMI-PERMANENT NZC SRS MEDICAL SPNR-7HA WP01168

    Patients

    Seq Age Sex Outcome Treatment
    1 Male Required Intervention