RENESSA RF SYSTEM PR0918

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2009-12-24 for RENESSA RF SYSTEM PR0918 manufactured by Novasys Medical.

Event Text Entries

[1441742] Patient began to have worsening incontinence requiring constant changing of pads 4-5 weeks after the procedure. The patient did not respond to medication and went on to have a midurethral sling with improvement.
Patient Sequence No: 1, Text Type: D, B5


[8349118] No device malfunction occurred. Worsening incontinence is a known risk following any anti-incontinence procedure. Following renessa, some patients have experienced a worsening of incontinence 3-4 weeks following the treatment at the time that the urethral submucosal tissue is undergoing collagen remodeling following urethral submucosal collagen denaturation during the treatment. Symptoms can include urinary tract infection, overflow urinary incontinence overactive bladder, or intrinsic sphincter deficiency. All of these conditions are treatable. The manufacturer has evaluated devices on an ongoing basis to determine if any device related malfunction may have contributed to the occurrence of this known adverse event. To date, no device malfunction has been found to contribute to the event, but investigations continue. The manufacturer has created procedural aids to emphasize appropriate patient selection, has simplified the steps of the procedure, made changes to the instructions for use, and has made minor device changes to facilitate ease of use by the physician. The manufacturer continues to evaluate the effectiveness of these step to minimize the occurrence of this side effect. The manufacturer is submitting this report retrospectively following a review of complaints after establishing that this event should be mdr reportable.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3003647794-2009-00020
MDR Report Key1569959
Report Source05
Date Received2009-12-24
Date of Report2009-12-01
Date of Event2006-01-01
Date Mfgr Received2006-09-21
Date Added to Maude2010-01-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactPAT YAZOLINO
Manufacturer Street39684 EUREKA DR.
Manufacturer CityNEWARK CA 94560
Manufacturer CountryUS
Manufacturer Postal94560
Manufacturer Phone5102264060
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRENESSA RF SYSTEM
Product CodeNVJ
Date Received2009-12-24
Model NumberPR0918
Catalog NumberPR0918
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerNOVASYS MEDICAL
Manufacturer AddressNEWARK CA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2009-12-24

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