MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2010-09-23 for THE SPANNER TEMPORARY PROSTATIC STENT SPNR- manufactured by Abbeymoor Medical Inc..
[20214677]
The physician reported one of his spanner pts was hospitalized for (b)(6).
Patient Sequence No: 1, Text Type: D, B5
[20580884]
The device was not returned for analysis. A review of the dhr was not performed. Every device lot is verified as sterile before release into inventory. Urinary tract infections are not a significant rate of occurrence. Three attempts were made to contact the physician for add'l info, none was provided.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 3005249627-2010-00006 |
MDR Report Key | 1849042 |
Report Source | 05 |
Date Received | 2010-09-23 |
Date of Report | 2010-09-23 |
Date of Event | 2010-08-01 |
Date Mfgr Received | 2010-08-18 |
Date Added to Maude | 2012-03-15 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Street | 501 EAST SOO STREET |
Manufacturer City | PARKERS PRAIRIE MN 56361 |
Manufacturer Country | US |
Manufacturer Postal | 56361 |
Manufacturer Phone | 2183386700 |
Single Use | 3 |
Remedial Action | OT |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | THE SPANNER TEMPORARY PROSTATIC STENT |
Generic Name | TEMPORARY PROSTATIC STENT |
Product Code | NZC |
Date Received | 2010-09-23 |
Model Number | SPNR- |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ABBEYMOOR MEDICAL INC. |
Manufacturer Address | 501 EAST SOO STREET PARKERS PRAIRIE MN 56361 US 56361 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Hospitalization; 2. Required No Informationntervention | 2010-09-23 |