FDA Adverse Event
Injury
Summary report: N
UROLIFT
MDR report key: 22419908
·
Received July 7, 2025
Report
- Report Number
- MW5172347
- Event Type
- Injury
- Date Received
- July 7, 2025
- Date of Event
- February 1, 2025
- Report Date
- July 3, 2025
- Manufacturer
- TELEFLEX MEDICAL LLC
- Product Code
- PEW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- GA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
THE PATIENT REPORTED UNDERGOING A CT SCAN APPROXIMATELY TWO WEEKS AGO ON TUESDAY. DURING THE SCAN, IT WAS FOUND THAT ALL THREE COMPONENTS OF THE UROLIFT DEVICE, WHICH HAD BEEN IMPLANTED APPROXIMATELY FOUR MONTHS EARLIER IN FEBRUARY, WERE NO LONGER PRESENT AND APPEARED TO HAVE BECOME DISLODGED. THE PATIENT STATED THAT A HOLE WAS IDENTIFIED IN THEIR KIDNEY AND EXPRESSED CONCERN THAT THE UROLIFT DEVICE MAY HAVE CAUSED THE DAMAGE. THE PATIENT ALSO REPORTED EXPERIENCING LOWER ABDOMINAL PAIN, BACK PAIN AND HEMATURIA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 176417 | UROLIFT | IMPLANTABLE TRANSPROSTATIC TISSUE RETRACTOR SYSTEM | PEW | TELEFLEX MEDICAL LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR | Male |