FDA Adverse Event Injury Summary report: N

AMS SPHINCTER 800 URINARY PROSTHESIS

MDR report key: 3010296 · Received March 12, 2013

Report

Report Number
2183959-2013-00742
Event Type
Injury
Date Received
March 12, 2013
Report Date
February 22, 2013
Manufacturer
AMERICAN MEDICAL SYSTEMS, INC.
Product Code
EZY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IT IS NOT CLEAR WHETHER THE EVENTS REPORTED WERE ASSOCIATED WITH AMS OR NON-AMS DEVICES. SHOULD ADD'L INFO BECOME AVAILABLE REGARDING THIS EVENT, IT WILL BE RE-EVALUATED AND A F/U REPORT WILL BE SENT.

Description of Event or Problem · 1

RELATED TO MFR REPORT #2183959-2013-00743. IT WAS REPORTED IN THE JOURNAL OF SEXUAL MEDICINE THAT A RETROSPECTIVE REVIEW OF PTS WAS PERFORMED FOR PTS WHO HAD AN AUS PLACEMENT BETWEEN (B)(6) 2011 AND (B)(6) 2012. THIS STUDY REVIEWED PTS WHO HAD THEIR AUS BALLOONS PLACED USING A "HIGH BALLOON PLACEMENT BENEATH THE RECTUS ABDOMINUS MUSCLE." IT WAS NOTED THAT A TOTAL OF 46 PTS RECEIVED AN ARTIFICIAL URINARY SPHINCTER. EARLY POSTOPERATIVE COMPLICATIONS WERE NOTED; ONE PT HAD A SCROTAL HEMATOMA ANOTHER HAD URINARY RETENTION THAT RESOLVED AFTER 4 DAYS OF CATHETER DECOMPRESSION. IT WAS ALSO REPORTED THAT ONE AUS PT SUSTAINED AN EROSION OF A 3.5CM CUFF. NO OTHER REVISIONS OR REMOVALS WERE REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
104476 AMS SPHINCTER 800 URINARY PROSTHESIS ARTIFICIAL URINARY SPHINCTER EZY AMERICAN MEDICAL SYSTEMS, INC.

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R