FDA Adverse Event
Injury
Summary report: N
PROACT ADJUSTABLE CONTINENCE THERAPY FOR MEN
MDR report key: 23872015
·
Received December 22, 2025
Report
- Report Number
- 3003477176-2025-00022
- Event Type
- Injury
- Date Received
- December 22, 2025
- Date of Event
- November 24, 2025
- Report Date
- December 22, 2025
- Manufacturer
- UROMEDICA, INC.
- Product Code
- EZY
- UDI-DI
- 00180668000380
- PMA / PMN Number
- P130018
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT UNDERWENT BI-LATERAL IMPLANTATION OF PROACT. PATIENT HAD PREVIOUS BLADDER NECK CONTRACTURE AND RADIATION THERAPY. PATIENT WAS IN RETENTION AFTER A CYSTOSCOPY ONE WEEK PRIOR TO THE PROACT PROCEDURE. EACH DEVICE HAD 1CC FLUID. URETHRA WAS CLOSED SHUT DURING POST-OP CYSTOSCOPY. ONE WEEK LATER, PATIENT WAS IN RETENTION. DEVICES WERE FULLY DEFLATED AND STILL IN RETENTION. THEN, PATIENT HAD GROSS HEMATURIA, SUSPICIOUS FOR AN ERODED DEVICE. PATIENT CAME BACK TO OR FOR CYSTOSCOPY AND TO ADDRESS RECURRING BLADDER NECK CONTRACTURE. PATIENT LEFT DEVICE WAS ERODED AND REMOVED. PATIENT RIGHT DEVICE WAS REINFLATED TO 0.5CC,AND THEN CYSTOSCOPY SHOWED EROSION, SO THAT WAS REMOVED TOO. PATIENT SENT HOME WITH A FOLEY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2403449 | PROACT ADJUSTABLE CONTINENCE THERAPY FOR MEN | PROACT | EZY | UROMEDICA, INC. | 800018-14 | 00180668000380 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Required Intervention |