FDA Adverse Event Death Summary report: N

NEOTRACT UROLIFT 2 SYSTEM

MDR report key: 20327169 · Received September 27, 2024

Report

Report Number
3015181082-2024-00024
Event Type
Death
Date Received
September 27, 2024
Date of Event
August 27, 2024
Report Date
September 27, 2024
Manufacturer
NEOTRACT, INC.
Product Code
PEW
UDI-DI
10814932020343
PMA / PMN Number
K201837
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

ON AUGUST 29, 2024, A PHYSICIAN REPORTED TO NEOTRACT THE FOLLOWING: A PATIENT HAD GONE TO THE EMERGENCY ROOM WITH LOWER ABDOMINAL PAIN THE EVENING AFTER HIS UROLIFT PROCEDURE ON (B)(6) 2024. THE PATIENT WAS ADMITTED TO EMERGENCY DEPARTMENT AFTER A CT SCAN SHOWED A SMALL PELVIC HEMATOMA. AN INFERIOR VENA CAVA (IVC) FILTER WAS PLACED BY INTERVENTIONAL RADIOLOGY ON (B)(6) 2024. EMERGENCY DEPARTMENT DISCHARGED THE PATIENT ON (B)(6) 2024. ON (B)(6) 2024, THE REPORTING PHYSICIAN TOLD NEOTRACT THAT THE PATIENT HAD DIED DUE TO A PULMONARY EMBOLISM (PE). THE FOLLOWING ADDITIONAL INFORMATION WAS RECEIVED BY NEOTRACT FROM THE REPORTING PHYSICIAN ON (B)(6) 2024: THE PATIENT HAD SUCCESSFULLY COMPLETED AN UNCOMPLICATED UROLIFT PROCEDURE ON (B)(6) 2024, WITH NO APPARENT COMPLICATIONS AND MINIMAL BLEEDING OBSERVED. AFTER COMPLETING THE UROLIFT, THE PHYSICIAN ALSO REMOVED KIDNEY STONES, AND A CATHETER WAS PLACED. THE PATIENT WAS 68 YEARS OLD WITH A PROSTATE SIZE OF 41CC. PROSTATE ANATOMY INCLUDED A HIGH MEDIAN BAR AND BULKY, ASYMMETRICAL TISSUE/LOBES THAT INDICATED THE USE OF AN ADVANCED TECHNIQUE CATHETER (ATC). THE PATIENT HAD BEEN HOSPITALIZED FROM (B)(6) 2024, FOR A PE AND HAD STARTED ELIQUIS TREATMENT, WHICH WAS STOPPED IN (B)(6) 2024 PRIOR TO THE UROLIFT PROCEDURE. ON SEPTEMBER 4, 2024, NEOTRACT WAS TOLD BY THE REPORTING PHYSICIAN THAT HE WAS UNCERTAIN ABOUT ANY CONNECTION BETWEEN THE UROLIFT PROCEDURE AND THE PATIENT¿S DEATH AND HE HAD NO WAY TO DETERMINE IF THE UROLIFT PROCEDURE CONTRIBUTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1663020 NEOTRACT UROLIFT 2 SYSTEM UROLIFT 2 SYSTEM PEW NEOTRACT, INC. UROLIFT 2 SYSTEM 10814932020343

Patients

Seq Age Sex Outcome Treatment
1 68 YR Male Death