FDA Adverse Event
Injury
Summary report: N
BULKAMID
MDR report key: 24772820
·
Received April 3, 2026
Report
- Report Number
- 2124215-2026-18301
- Event Type
- Injury
- Date Received
- April 3, 2026
- Date of Event
- February 12, 2026
- Report Date
- April 29, 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
- NY, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
IMDRF IMPACT CODE F1901 CAPTURES THE REPORTABLE EVENT OF ADDITIONAL SURGERY.
Description of Event or Problem · 0
IT WAS REPORTED THAT DURING A FOLLOW UP ROUTINE AFTER BULKAMID PROCEDURE, THE PHYSICIAN REPORTED A PROBLEM WITH THE DEVICE. THE PHYSICIAN PERFORMED AN ADDITIONAL PROCEDURE. THERE WERE NO PATIENT COMPLICATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 6565 | BULKAMID | AGENT, BULKING, INJECTABLE FOR GASTRO-UROLOGY USE | LNM | CONTURA INTERNATIONAL A/S | 50050 | AU2F244202 | 10810005340509 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |