AMS 800 ARTIFICIAL URINARY SPHINCTER
Report
- Report Number
- 2124215-2025-68808
- Event Type
- Injury
- Date Received
- October 1, 2025
- Date of Event
- September 5, 2025
- Report Date
- October 1, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- EZY
- PMA / PMN Number
- P000053
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
CONCOMITANT PRODUCT UDI FOR BALLOON IS (B)(4). CONCOMITANT PRODUCT UDI FOR PUMP IS (B)(4). THERE WAS NO DEVICE AVAILABLE FOR ANALYSIS; THEREFORE, NO PHYSICAL OR VISUAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THE REPORTED PATIENT SYMPTOM OF INCONTINENCE IS A KNOWN RISK ASSOCIATED WITH IMPLANT OF THESE DEVICES AS INDICATED IN THE INSTRUCTIONS FOR USE. BASED ON THE INFORMATION AVAILABLE, A CONCLUSION CODE OF KNOWN INHERENT RISK OF DEVICE WAS ASSIGNED TO THIS INVESTIGATION.
IT WAS REPORTED THAT THE PATIENT WITH THIS ARTIFICIAL URINARY SPHINCTER (AUS) EXPERIENCED RECURRING INCONTINENCE, AND THE CUFF WAS SUSPECTED TO BE TOO LARGE. A SURGICAL PROCEDURE WAS PERFORMED IN WHICH THE PREVIOUS CUFF WAS REMOVED AND A SMALLER CUFF WAS PLACED. THERE WERE NO FURTHER PATIENT COMPLICATIONS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1674328 | AMS 800 ARTIFICIAL URINARY SPHINCTER | DEVICE INCONTINENCE MECHANICAL/HYDRAULIC | EZY | BOSTON SCIENTIFIC CORPORATION | 72404132 | 1100528115 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Male | Hospitalization| R |