FDA Adverse Event Injury Summary report: N

SPACEOAR VUE SYSTEM

MDR report key: 23791459 · Received December 12, 2025

Report

Report Number
2124215-2025-90653
Event Type
Injury
Date Received
December 12, 2025
Date of Event
October 28, 2025
Report Date
January 8, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OVB
UDI-DI
00850009803009
PMA / PMN Number
K182971
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

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 COMPLETED UDI AND OTHER PRODUCT SPECIFIC INFORMATION. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. BLOCKS D4 AND H4: THE COMPLAINANT WAS UNABLE TO REPORT THE LOT NUMBER; THEREFORE, THE MANUFACTURE DATE AND EXPIRATION DATE ARE UNKNOWN. BLOCK H6: IMDRF DEVICE CODE A150202 CAPTURES THE REPORTABLE EVENT OF GEL MISPLACEMENT NON-VASCULAR. IMDRF PATIENT CODE E0506 CAPTURES THE REPORTABLE EVENT OF BLEEDING. IMDRF PATIENT CODE E2330 CAPTURES THE REPORTABLE EVENT OF PAIN. IMDRF PATIENT CODE E232401 CAPTURES THE REPORTABLE EVENT OF FECAL INCONTINENCE. IMDRF PATIENT CODE E2311 CAPTURES THE REPORTABLE EVENT OF DISCOMFORT. IMDRF PATIENT CODE E2315 CAPTURES THE REPORTABLE EVENT OF FLUID DISCHARGE. IMDRF PATIENT CODE E2339 CAPTURES THE REPORTABLE EVENT OF ULCER. IMDRF PATIENT CODE E2314 CAPTURES THE REPORTABLE EVENT OF FISTULA.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION BLOCK B5 AND H6 HAVE BEEN UPDATED, THE PATIENT CODE E2314 FISTULA WAS REMOVED DUE TO THE NEW INFORMATION. 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 COMPLETED UDI AND OTHER PRODUCT SPECIFIC INFORMATION. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. BLOCKS D4 AND H4: THE COMPLAINANT WAS UNABLE TO REPORT THE LOT NUMBER; THEREFORE, THE MANUFACTURE DATE AND EXPIRATION DATE ARE UNKNOWN. BLOCK H6: IMDRF DEVICE CODE A150202 CAPTURES THE REPORTABLE EVENT OF GEL MISPLACEMENT NON-VASCULAR. IMDRF PATIENT CODE E0506 CAPTURES THE REPORTABLE EVENT OF BLEEDING. IMDRF PATIENT CODE E2330 CAPTURES THE REPORTABLE EVENT OF PAIN. IMDRF PATIENT CODE E232401 CAPTURES THE REPORTABLE EVENT OF FECAL INCONTINENCE. IMDRF PATIENT CODE E2311 CAPTURES THE REPORTABLE EVENT OF DISCOMFORT. IMDRF PATIENT CODE E2315 CAPTURES THE REPORTABLE EVENT OF FLUID DISCHARGE. IMDRF PATIENT CODE E2339 CAPTURES THE REPORTABLE EVENT OF ULCER.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT UNDERWENT A SPACEOAR VUE PLACEMENT PROCEDURE WITH FIDUCIAL MARKER SON (B)(6) 2025. A DIGITAL RECTAL EXAMINATION (DRE) WAS PERFORMED AT THE END OF THE PROCEDURE AND THERE WERE NO SIGNS OF PROBLEMS. A PLANNING COMPUTED TOMOGRAPHY (CT) WAS PERFORMED ON (B)(6) 2025. THERE WAS CONCERN OF A RECTAL WALL INFILTRATION OF THE HYDROGEL AND THE PATIENT WAS CONSTIPATED AT THE TIME. THE PATIENT UNDERWENT RADIATION TREATMENT AS PLANNED. ON (B)(6) 2025, THE PATIENT STARTED EXPERIENCING PAIN IN THE RECTUM, BLEEDING AND SOME FECAL INCONTINENCE. THE PATIENT REPORTED PASSING HYDROGEL THROUGH THEIR STOOLS, THEREFORE WAS ADMITTED TO THE MEDICAL WARD. THE PATIENT IS CURRENTLY STABLE WITH NO FURTHER SYMPTOMS OR ISSUES. A SIGMOIDOSCOPY LATER CONFIRMED A PERFORATION IN THE RECTUM, AND DURING THE PROCEDURE, THE SURGEON SUCCESSFULLY REMOVED THE ENTIRE HYDROGEL IN ONE PIECE. THE PATIENT WAS OFFERED A DIVERSION. THE PATIENT IS CLINICALLY WELL AND NOW IS WAITING FOR THE PLAN OF THE COLORECTAL SURGEON. THE PATIENT IS AVOIDING HARD STOOLS AND IS CURRENTLY ON AUGMENTIN. THE PATIENT IS CURRENTLY ASYMPTOMATIC.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT UNDERWENT A SPACEOAR VUE PLACEMENT PROCEDURE WITH FIDUCIAL MARKER SON (B)(6) 2025. A DIGITAL RECTAL EXAMINATION (DRE) WAS PERFORMED AT THE END OF THE PROCEDURE AND THERE WERE NO SIGNS OF PROBLEMS. A PLANNING COMPUTED TOMOGRAPHY (CT) WAS PERFORMED ON (B)(6) 2025. THERE WAS CONCERN OF A RECTAL WALL INFILTRATION OF THE HYDROGEL AND THE PATIENT WAS CONSTIPATED AT THE TIME. THE PATIENT UNDERWENT RADIATION TREATMENT AS PLANNED. ON (B)(6) 2025, THE PATIENT STARTED EXPERIENCING PAIN IN THE RECTUM, BLEEDING AND SOME FECAL INCONTINENCE. THE PATIENT REPORTED PASSING HYDROGEL THROUGH THEIR STOOLS, THEREFORE WAS ADMITTED TO THE MEDICAL WARD. THE PATIENT IS CURRENTLY STABLE WITH NO FURTHER SYMPTOMS OR ISSUES. A SIGMOIDOSCOPY LATER CONFIRMED A PERFORATION IN THE RECTUM, AND DURING THE PROCEDURE, THE SURGEON SUCCESSFULLY REMOVED THE ENTIRE HYDROGEL IN ONE PIECE. THE PATIENT WAS OFFERED A DIVERSION. THE PATIENT IS CLINICALLY WELL AND NOW IS WAITING FOR THE PLAN OF THE COLORECTAL SURGEON. THE PATIENT IS AVOIDING HARD STOOLS AND IS CURRENTLY ON AUGMENTIN. THE PATIENT IS CURRENTLY ASYMPTOMATIC. ADDITIONAL INFORMATION: IT WAS REPORTED THAT THE PATIENT ONLY HAS AN ULCER, THERE ARE NO SIGNS OF FISTULA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2695651 SPACEOAR VUE SYSTEM ABSORBABLE PERIRECTAL SPACER OVB BOSTON SCIENTIFIC CORPORATION SV-1010 00850009803009

Patients

Seq Age Sex Outcome Treatment
1 75 YR Male Other| R