FDA Adverse Event Injury Summary report: N

AMS 800 ARTIFICIAL URINARY SPHINCTER

MDR report key: 23191690 · Received October 1, 2025

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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