FDA Adverse Event Malfunction Summary report: N

OPTILUME BPH CATHETER SYSTEM

MDR report key: 21633435 · Received March 18, 2025

Report

Report Number
21633435
Event Type
Malfunction
Date Received
March 18, 2025
Date of Event
February 26, 2025
Report Date
March 4, 2025
Manufacturer
UROTRONIC INC.
Product Code
QXB
Product Problem
Yes
Report Source
User Facility report
Reporter Location
UT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

THE CATHETER WAS INSERTED INTO THE PATIENT. THE CAREGIVER FILLED IT WITH 5CC OF FLUID, AND THE BALLOON ON THE CATHETER POPPED WHILE IN THE PATIENT. THE CATHETER WAS THEN TAKEN OUT AND A NEW SIZE WAS USED. MANUFACTURER RESPONSE FOR UROLOGICAL SURGICAL CATHETERS, LABORIE MEDICAL TECHNOLOGIES (PER SITE REPORTER): SINCE THERE WAS NO SAMPLE AVAILABLE FOR DOCUMENTATION, THEY HAVE OFFERED A REPLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
451933 OPTILUME BPH CATHETER SYSTEM DRUG COATED PROSTATIC DILATION CATHETER FOR BENIGN PROSTATIC HYPERPLASIA QXB UROTRONIC INC. 30599

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown