FDA Adverse Event
Injury
Summary report: N
ITIND, WITH SNARE, STERILE
MDR report key: 23182019
·
Received September 30, 2025
Report
- Report Number
- 2429304-2025-00254
- Event Type
- Injury
- Date Received
- September 30, 2025
- Date of Event
- July 1, 2025
- Report Date
- September 30, 2025
- Manufacturer
- MEDI-TATE LTD.
- Product Code
- QKA
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED DURING THE ONE-MONTH FOLLOW-UP VISIT POST ITIND PROCEDURE, THE PATIENT HAD FOUL SMELLING URINE. A URINE CULTURE WAS DONE AND CAME BACK POSITIVE. THE PATIENT WAS TREATED WITH ANTIBIOTICS. THE URINARY TRACT INFECTION WAS ONGOING. THERE WERE NO FURTHER REPORTS OF PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2216015 | ITIND, WITH SNARE, STERILE | WA2ITA00 | QKA | MEDI-TATE LTD. | WA2ITA00 | U1S04122023-1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Required Intervention |