FDA Adverse Event Injury Summary report: N

AMS 800 URINARY CONTROL SYSTEM

MDR report key: 23362390 · Received October 22, 2025

Report

Report Number
2124215-2025-75773
Event Type
Injury
Date Received
October 22, 2025
Date of Event
February 24, 2025
Report Date
February 2, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
EZY
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

DETAILED PRODUCT INFORMATION WAS NOT PROVIDED TO BSC. WE COMPLETED A GOOD FAITH EFFORT TO OBTAIN THE INFORMATION. BECAUSE THE PRODUCT IS UNKNOWN AT THIS TIME, WE ARE UNABLE TO PROVIDE THE COMPLETE UNIQUE IDENTIFIER (UDI) # AND OTHER PRODUCT SPECIFIC INFORMATION. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. THE DEVICE IS NOT AVAILABLE FOR ANALYSIS; THEREFORE, NO PHYSICAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THE REPORTED DEVICE PERFORMANCE ALLEGATION CANNOT BE CONFIRMED. BASED ON THE INFORMATION AVAILABLE THE CAUSE THAT CONTRIBUTED TO THE REPORTED EVENT CANNOT BE ESTABLISHED.

Additional Manufacturer Narrative · 0

DETAILED PRODUCT INFORMATION WAS NOT PROVIDED TO BSC. WE COMPLETED A GOOD FAITH EFFORT TO OBTAIN THE INFORMATION. BECAUSE THE PRODUCT IS UNKNOWN AT THIS TIME, WE ARE UNABLE TO PROVIDE THE COMPLETE UNIQUE IDENTIFIER (UDI) # AND OTHER PRODUCT SPECIFIC INFORMATION. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. THE DEVICE IS NOT AVAILABLE FOR ANALYSIS; THEREFORE, NO PHYSICAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THE REPORTED DEVICE PERFORMANCE ALLEGATION CANNOT BE CONFIRMED. A DHR AND SHIP HISTORY REVIEW CANNOT BE PERFORMED AS THE LOT NUMBER WAS NOT AVAILABLE. A REVIEW OF THE DEVICE INSTRUCTIONS FOR USE (IFU) WAS COMPLETED AND DID NOT REVEAL ANY EVIDENCE OF DEVICE MISUSE, OFF LABEL USE, OR FAILURE TO FOLLOW INSTRUCTIONS. BASED ON THE INFORMATION AVAILABLE THE CAUSE THAT CONTRIBUTED TO THE REPORTED EVENT CANNOT BE ESTABLISHED; THEREFORE, THE CONCLUSION CODE OF UNABLE TO EXCLUDE DEVICE PROBLEM HAS BEEN CHOSEN. CORRECTION TO FIELD H6: DEVICE CODES.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WITH THIS ARTIFICIAL URINARY SPHINCTER (AUS) EXPERIENCED DIFFICULTY OPERATING THE PUMP AND WAS UNSURE WHETHER HE WAS EMPTYING HIS BLADDER COMPLETELY. THE PATIENT REPORTED BEING CATHETERIZED WHILE THE AUS WAS NOT DEACTIVATED AND WAS TAKING MEDICATION THAT COULD CONTRIBUTE TO URINARY RETENTION. THE PATIENT WAS PROVIDED WITH EDUCATIONAL RESOURCES AND GUIDANCE ON PROPER DEVICE USE. AFTER FOLLOWING THE INSTRUCTIONS, THE PATIENT WAS ABLE TO OPERATE THE DEVICE AND VOID SUCCESSFULLY. THERE WERE NO FURTHER PATIENT COMPLICATIONS REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WITH THIS ARTIFICIAL URINARY SPHINCTER (AUS) EXPERIENCED DIFFICULTY OPERATING THE PUMP AND WAS UNSURE WHETHER HE WAS EMPTYING HIS BLADDER COMPLETELY. THE PATIENT REPORTED BEING CATHETERIZED WHILE THE AUS WAS NOT DEACTIVATED AND WAS TAKING MEDICATION THAT COULD CONTRIBUTE TO URINARY RETENTION. THE PATIENT WAS PROVIDED WITH EDUCATIONAL RESOURCES AND GUIDANCE ON PROPER DEVICE USE. AFTER FOLLOWING THE INSTRUCTIONS, THE PATIENT WAS ABLE TO OPERATE THE DEVICE AND VOID SUCCESSFULLY. THERE WERE NO FURTHER PATIENT COMPLICATIONS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
232540 AMS 800 URINARY CONTROL SYSTEM DEVICE INCONTINENCE MECHANICAL/HYDRAULIC EZY BOSTON SCIENTIFIC CORPORATION UNK-P-AUS

Patients

Seq Age Sex Outcome Treatment
1 82 YR Male Other