FDA Adverse Event Injury Summary report: N

BULKAMID

MDR report key: 24702032 · Received March 26, 2026

Report

Report Number
2124215-2026-16686
Event Type
Injury
Date Received
March 26, 2026
Date of Event
February 10, 2026
Report Date
March 26, 2026
Manufacturer
CONTURA INTERNATIONAL A/S
Product Code
LNM
UDI-DI
10810005340509
PMA / PMN Number
P170023
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MT, US
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 COMPLETE UNIQUE IDENTIFIER (UDI) # AND OTHER PRODUCT SPECIFIC INFORMATION. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. BLOCK H6: IMDRF PATIENT CODE E0506 CAPTURES THE REPORTABLE EVENT OF BLEEDING. IMDRF PATIENT CODE E1309 CAPTURES THE REPORTABLE EVENT OF URINARY RETENTION. IMDRF PATIENT CODE E0505 CAPTURES THE REPORTABLE EVENT OF HEMATOMA.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT WHO UNDERWENT BULKAMID IMPLANTATION, REPORTED HAVING RETENTION AND VAGINAL BLEEDING. SHE WAS SEEN BY ANOTHER PHYSICIAN DUE TO THE RETENTION, AND IT WAS DETERMINED THAT THERE WAS A LARGE HEMATOMA BETWEEN THE URETHRA AND THE VAGINA. THE PATIENT HAD A CATHETER PLACED. THE ISSUE WAS REPORTED AS ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
756554 BULKAMID AGENT, BULKING, INJECTABLE FOR GASTRO-UROLOGY USE LNM CONTURA INTERNATIONAL A/S 50050 10810005340509

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown