AMS 800 URINARY CONTROL SYSTEM
Report
- Report Number
- 2124215-2025-93197
- Event Type
- Injury
- Date Received
- December 26, 2025
- Date of Event
- December 1, 2025
- Report Date
- February 11, 2026
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- EZY
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THE DEVICE IS NOT AVAILABLE FOR ANALYSIS; THEREFORE, NO PHYSICAL OR VISUAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THERE WAS NO REPORT OF A DEVICE PERFORMANCE ALLEGATION. A DEVICE HISTORY RECORD (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. THE REPORTED PATIENT SYMPTOM(S) ARE KNOWN RISK ASSOCIATED WITH THIS DEVICE TYPE AND INDICATED AS SUCH IN THE INSTRUCTIONS FOR USE. CORRECTION TO FIELD H6: IMPACT CODES.
THE DEVICE IS NOT AVAILABLE FOR ANALYSIS; THEREFORE, NO PHYSICAL OR VISUAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THERE WAS NO REPORT OF A DEVICE PERFORMANCE ALLEGATION. THE REPORTED PATIENT SYMPTOMS ARE KNOWN RISKS ASSOCIATED WITH THIS DEVICE TYPE AND INDICATED AS SUCH IN THE INSTRUCTIONS FOR USE.
IT WAS REPORTED THAT A SURGICAL PROCEDURE WAS INITIATED FOR REMOVAL OF AN ARTIFICIAL URINARY SPHINCTER (AUS) DUE TO INCONTINENCE AND EROSION. DURING THE PROCEDURE, AN ACCESSORY DEVICE WAS OPENED AND CROSSED THE STERILE FIELD; HOWEVER, THE PHYSICIAN CHANGED THE COURSE OF ACTION, AND THE DEVICE WAS NOT USED. THERE WERE NO PATIENT COMPLICATIONS REPORTED.
IT WAS REPORTED THAT A SURGICAL PROCEDURE WAS INITIATED FOR REMOVAL OF AN ARTIFICIAL URINARY SPHINCTER (AUS) DUE TO INCONTINENCE AND EROSION. DURING THE PROCEDURE, AN ACCESSORY DEVICE WAS OPENED AND CROSSED THE STERILE FIELD; HOWEVER, THE PHYSICIAN CHANGED THE COURSE OF ACTION, AND THE DEVICE WAS NOT USED. THERE WERE NO PATIENT COMPLICATIONS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2313020 | AMS 800 URINARY CONTROL SYSTEM | DEVICE INCONTINENCE MECHANICAL/HYDRAULIC | EZY | BOSTON SCIENTIFIC CORPORATION | UNK-P-AUS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 74 YR | Male | Other |