FDA Adverse Event Injury Summary report: N

AMS 800 URINARY CONTROL SYSTEM

MDR report key: 23898108 · Received December 26, 2025

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

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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