FDA Adverse Event Injury Summary report: N

SPACEOAR VUE

MDR report key: 21142170 · Received January 10, 2025

Report

Report Number
MW5164591
Event Type
Injury
Date Received
January 10, 2025
Date of Event
November 10, 2023
Report Date
January 8, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OVB
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
VA, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

PATIENT HAD A SPACE OAR VUE - (B)(4) PLACED AND DEVELOPED COLO URETHRAL AND RECTOURETHRAL FISTULAS. THERE IS NO DEFINITIVE DATA TO PROVE THIS WAS THE CAUSE OF THE FISTULAS DEVELOPMENT BUT OUT OF AN ABUNDANCE OF CAUTION THIS PRODUCT IS NO LONGER BEING USED BY UROLOGY. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2212044 SPACEOAR VUE HYDROGEL SPACER OVB BOSTON SCIENTIFIC CORPORATION 32596887

Patients

Seq Age Sex Outcome Treatment
1 64 YR Male Hospitalization