FDA Adverse Event Injury Summary report: N

SINGLE ACTION PUMPING SYSTEM CONTINUOUS FLOW

MDR report key: 21194246 · Received January 20, 2025

Report

Report Number
2124215-2025-01479
Event Type
Injury
Date Received
January 20, 2025
Date of Event
May 19, 2015
Report Date
January 20, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
KOD
UDI-DI
08714729045076
PMA / PMN Number
K870557
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: DATE OF EVENT: APPROXIMATED TO MAY 19, 2015, AS TO WHEN THE LITERATURE REPORT WAS PUBLISHED. BLOCK H6: PATIENT CODE (B)(6) CAPTURES THE REPORTABLE EVENT OF PAIN. IMPACT CODE F2303 CAPTURES THE REPORTABLE EVENT OF MEDICATION REQUIRED. BLOCK G2 (REPORT SOURCE): ALAZEM, K., LI, I., & MONGA, M. (20215). PREDICTING PROCEDURAL PAIN AFTER URETEROSCOPY: DOES HYDRODISTENTION PLAY A ROLE? JOURNAL OF INT BRAZ J UROL, 2016; 42: 734-9, HTTPS://DOI.ORG/10.1590/S1677-5538.IBJU.2015.0275

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC THE STUDY PUBLISHED IN THE INTERNATIONAL BRAZILIAN JOURNAL OF UROLOGY AIMED TO IDENTIFY PERIOPERATIVE PREDICTORS OF IMMEDIATE PAIN FOLLOWING URETEROSCOPY, WITH A SPECIFIC FOCUS ON WHETHER HYDRODISTENTION (FROM PRESSURIZED IRRIGATION) OF THE RENAL COLLECTING SYSTEM CONTRIBUTES TO POST-PROCEDURE PAIN, WHERE AN IRRIGATION SYRING UNIT WAS USED. A TOTAL OF 131 PATIENTS WERE INCLUDED IN THE STUDY WHO UNDERWENT URETEROSCOPY FOR STONE TREATMENT, WITH EQUAL GENDER DISTRIBUTION. AN UNSPECIFIED AMOUNT OF PATIENT EXPERIENCED PAIN THAT REQUIRED NARCOTICS UPON POST-ANESTHESIA CARE UNIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
556554 SINGLE ACTION PUMPING SYSTEM CONTINUOUS FLOW CATHETER, UROLOGICAL KOD BOSTON SCIENTIFIC CORPORATION 08714729045076

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other