FDA Adverse Event Injury Summary report: N

LOFRIC SENSE

MDR report key: 17478853 · Received August 8, 2023

Report

Report Number
3009632672-2023-00002
Event Type
Injury
Date Received
August 8, 2023
Date of Event
July 23, 2023
Report Date
August 8, 2023
Manufacturer
WELLSPECT AB
Product Code
EZD
UDI-DI
07392532086489
PMA / PMN Number
K123751
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE PRODUCT WAS NOT AVAILABLE TO BE RETURNED. WITHOUT THE BENEFIT OF EXAMINATION AND TESTING, WELLSPECT HEALTHCARE IS PRECLUDED FROM COMMENTING ON THE CONDITION OF THE DEVICE OR THE CAUSE OF THE OCCURRENCE. SHOULD ADDITIONAL FACTS PROMPT US TO ALTER OR SUPPLEMENT ANY INFORMATION OF CONCLUSIONS CONTAINED IN THIS REPORT, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

ON (B)(6) 2023 A FEMALE PATIENT WITH SJOGREN'S SYNDROME (AUTOIMMUNE DISORDER), GOT AN INTERMITTENT NELATON STRAIGHT TIP CATHETER (LOFRIC SENSE FR14) STUCK IN HER URETHRA DURING WITHDRAWAL. SHE HAD THEN TO GO TO EMERGENCY CARE FOR REMOVAL. THE CATHETER WAS REMOVED IN AN ER AND A PIECE OF MUCOSAL TISSUE WAS STUCK IN AN EYELET UPON REMOVAL. THE FEMALE PATIENT HAD BLEEDING AND A HEMATOMA DUE TO THE INJURY. THE PATIENT CAREGIVER (MOTHER) NOTED THE LOFRIC SENSE SOLUTION FELT THICK AND STICKY. THE ER DOCTOR BELIEVES DIAGNOSIS OF SJOGREN'S MAY BE AN INFLUENTIAL FACTOR AS PATIENTS EXPERIENCE DRYNESS IN MUCOSAL TISSUES. WITHIN THE WEEK PRIOR TO THEIR NEXT ER VISIT, PATIENT UROLOGIST PRESCRIBED MACROBID FOR A POSSIBLE UTI. THE ER PROVIDER PRESCRIBED AN ADDITIONAL 10 DAYS OF ANTIBIOTICS AFTER REMOVING THE LOFRIC SENSE CATHETER. THE ER ADVISED TO USE ADDITIONAL GEL LUBRICANT WITH LOFRIC SENSE GOING FORWARD. THE PATIENT CAREGIVER USED THIS TECHNIQUE FOR THE WEEK FOLLOWING THEIR ER VISIT, DIDN'T HAVE ANY ISSUES WITH LOFRIC SENSE, AND THEN RECEIVED ANOTHER CATHETER SAMPLES (CURE CATHETERS (INADVERTENTLY)), BUT THEY WORKED WELL FOR THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1260670 LOFRIC SENSE LOFRIC SENSE NELATON 15CM FR14 EZD WELLSPECT AB 4161405 639815 07392532086489

Patients

Seq Age Sex Outcome Treatment
1 36 YR Female Hospitalization