FDA Adverse Event Injury Summary report: N

TVT EXACT RETROPUBIC SYSTEM

MDR report key: 23363719 · Received October 22, 2025

Report

Report Number
3003990090-2025-01655
Event Type
Injury
Date Received
October 22, 2025
Date of Event
August 6, 2025
Report Date
October 22, 2025
Manufacturer
CALDERA MEDICAL INC.
Product Code
OTN
PMA / PMN Number
K132054
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AN ANALYSIS OF THE PRODUCT COULD NOT BE CONDUCTED BECAUSE A PHYSICAL SAMPLE WAS NOT RECEIVED FOR EVALUATION. HOWEVER, A REVIEW OF THE MANUFACTURING RECORDS FOR THE FINISHED DEVICE LOT NUMBER WAS CARRIED OUT, AND NO NON-CONFORMANCES OR MANUFACTURING IRREGULARITIES WERE IDENTIFIED. AS PART OF ETHICON'S QUALITY CONTROL PROCESS, ALL DEVICES ARE MANUFACTURED, INSPECTED, AND DISTRIBUTED ACCORDING TO APPROVED SPECIFICATIONS. ADDITIONALLY, WE WILL CONTINUE TO MONITOR COMPLAINT INFORMATION FOR POTENTIAL SAFETY SIGNALS THROUGH COMPLAINT TRENDING AS PART OF OUR POST-MARKET SURVEILLANCE. IF THE PRODUCT IS RECEIVED AT A LATER DATE, THE INVESTIGATION WILL BE UPDATED ACCORDINGLY. THE MANUFACTURING NUMBER IS C25-2815.

Description of Event or Problem · 0

CLINICAL TRIAL PATIENT ESC_2020_03 REPORTED POST-OPERATIVE URINARY RETENTION. THE RELATIONSHIP TO THE STUDY DEVICE IS UNLIKELY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2777225 TVT EXACT RETROPUBIC SYSTEM TVT-CAL-EXACT OTN CALDERA MEDICAL INC. 810041BL 3944976

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention