FDA Adverse Event Malfunction Summary report: N

MACROPLASTIQUE IMPLANTS

MDR report key: 7278187 · Received February 16, 2018

Report

Report Number
3002647932-2018-00002
Event Type
Malfunction
Date Received
February 16, 2018
Report Date
February 15, 2018
Manufacturer
UROPLASTY, LLC
Product Code
LNM
UDI-DI
08717591240266
PMA / PMN Number
P040050
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IN A RECENT PUBLICATION IN THE INTERNATIONAL UROGYNECOLOGY JOURNAL, IT WAS NOTED THAT A FEMALE PATIENT EXPERIENCED MIGRATION OF THE MPQ IMPLANT TO HER BLADDER. A POSTMENOPAUSAL WOMAN HAD AN MPQ INJECTION FOR INCONTINENCE IN 2011. IN 2014, SHE WAS DIAGNOSED WITH BLADDER CARCINOMA AND UNDERWENT TRANSURETHRAL RESECTION OF A BLADDER TUMOR. DURING A SURVEILLANCE CYSTOSCOPY, AN IRREGULAR AREA IN THE TRIGONE OF THE BLADDER WAS NOTED, AND RESECTED BY UROLOGY IN 2016. PATHOLOGY OF THE MASS RETURNED AS A FOREIGN BODY GIANT CELL REACTION WITH REFRACTILE GEL-LIKE MATERIAL CONSISTENT WITH MPQ.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
119960 MACROPLASTIQUE IMPLANTS URETHERAL BULKING AGENT LNM UROPLASTY, LLC MPQ-2.5 08717591240266

Patients

Seq Age Sex Outcome Treatment
1