FDA Adverse Event Injury Summary report: N

SPACEOAR VUE SYSTEM

MDR report key: 20274311 · Received September 20, 2024

Report

Report Number
2124215-2024-58928
Event Type
Injury
Date Received
September 20, 2024
Date of Event
April 23, 2024
Report Date
October 25, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OVB
UDI-DI
00864661000140
PMA / PMN Number
K182971
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCKS D4 AND H4: THE COMPLAINANT WAS UNABLE TO REPORT THE LOT NUMBER; THEREFORE, THE MANUFACTURE DATE AND EXPIRATION DATE ARE UNKNOWN. BLOCK H6: DEVICE CODE A1502 IS BEING USED TO CAPTURE THE REPORTABLE EVENT OF GEL MISPLACED NON-VASCULAR. PATIENT CODE E2330 IS BEING USED TO CAPTURE THE REPORTABLE EVENT OF PAIN.

Additional Manufacturer Narrative · 0

BLOCKS D4 AND H4: THE COMPLAINANT WAS UNABLE TO REPORT THE LOT NUMBER; THEREFORE, THE MANUFACTURE DATE AND EXPIRATION DATE ARE UNKNOWN. BLOCK H6: DEVICE CODE A1502 IS BEING USED TO CAPTURE THE REPORTABLE EVENT OF GEL MISPLACED NON-VASCULAR. PATIENT CODE E2330 IS BEING USED TO CAPTURE THE REPORTABLE EVENT OF PAIN. BLOCK H11: BLOCK H6 (PATIENT CODES): WERE CORRECTED BASED ON ADDITIONAL INFORMATION RECEIVED ON 10/01/2024.

Description of Event or Problem · 0

IT WAS REPORTED THAT AFTER SPACEOAR VUE AND FIDUCIAL MARKERS PLACEMENT. THE PATIENT EXPERIENCED PERINEAL PAIN. AFTER UNDERGOING RADIATION, HE CONSULTED ANOTHER PHYSICIAN DUE TO EXPERIENCING IRRITATIVE PAIN WITHOUT GROSS HEMATURIA. THE PATIENT ALSO EXPERIENCED TENESMUS. THIS LED TO MULTIPLE EMERGENCY ROOM VISITS AND, ULTIMATELY, A HOSPITALIZATION LAST WEEK FOR SEVERE, UNCONTROLLED PERINEAL PAIN. THE MAGNETIC RESONANCE IMAGING DID NOT SHOW ANY PROSTATIC ABSCESS, AND THE SPACEOAR WAS STILL IN PLACE. HOWEVER, THERE WAS CONCERN ABOUT THE HYDROGEL BEING VERY CLOSE TO THE RECTAL LINING. A SIGMOIDOSCOPY REVEALED A SIGNIFICANT ULCER, AND A FOLEY CATHETER WAS INSERTED TO ALLEVIATE URINARY SYMPTOMS. THE HYDROGEL CREATED A 1.5 CM SEPARATION BETWEEN THE RECTUM AND THE PROSTATE FROM THE BASE TO THE APEX. FURTHER IMAGE REVIEW INDICATED THAT THE GEL WAS APPROPRIATELY POSITIONED AT THE BASE, BUT AS IT MOVED TOWARDS THE MIDGLAND AND ESPECIALLY THE APEX, THERE APPEARED TO BE RECTAL WALL INFILTRATION. THE ENDOSCOPY IMAGES CONFIRMED AN ULCER ON THE ANTERIOR RECTAL WALL. THE PATIENT CONTINUED TO EXPERIENCE PAIN BUT SHOWED IMPROVEMENT WITH STEROID TREATMENT. THE PATIENT ALSO COMPLETED THE RADIATION TREATMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT AFTER SPACEOAR VUE AND FIDUCIAL MARKERS PLACEMENT. THE PATIENT EXPERIENCED PERINEAL PAIN. AFTER UNDERGOING RADIATION, HE CONSULTED ANOTHER PHYSICIAN DUE TO EXPERIENCING IRRITATIVE PAIN WITHOUT GROSS HEMATURIA. THE PATIENT ALSO EXPERIENCED TENESMUS. THIS LED TO MULTIPLE EMERGENCY ROOM VISITS AND, ULTIMATELY, A HOSPITALIZATION LAST WEEK FOR SEVERE, UNCONTROLLED PERINEAL PAIN. THE MAGNETIC RESONANCE IMAGING DID NOT SHOW ANY PROSTATIC ABSCESS, AND THE SPACEOAR WAS STILL IN PLACE. HOWEVER, THERE WAS CONCERN ABOUT THE HYDROGEL BEING VERY CLOSE TO THE RECTAL LINING. A SIGMOIDOSCOPY REVEALED A SIGNIFICANT ULCER, AND A FOLEY CATHETER WAS INSERTED TO ALLEVIATE URINARY SYMPTOMS. THE HYDROGEL CREATED A 1.5 CM SEPARATION BETWEEN THE RECTUM AND THE PROSTATE FROM THE BASE TO THE APEX. FURTHER IMAGE REVIEW INDICATED THAT THE GEL WAS APPROPRIATELY POSITIONED AT THE BASE, BUT AS IT MOVED TOWARDS THE MIDGLAND AND ESPECIALLY THE APEX, THERE APPEARED TO BE RECTAL WALL INFILTRATION. THE ENDOSCOPY IMAGES CONFIRMED AN ULCER ON THE ANTERIOR RECTAL WALL. THE PATIENT CONTINUED TO EXPERIENCE PAIN BUT SHOWED IMPROVEMENT WITH STEROID TREATMENT. THE PATIENT ALSO COMPLETED THE RADIATION TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1483362 SPACEOAR VUE SYSTEM ABSORBABLE PERIRECTAL SPACER OVB BOSTON SCIENTIFIC CORPORATION SV-2101 00864661000140

Patients

Seq Age Sex Outcome Treatment
1 61 YR Male Required Intervention| H