LYRETTE PR0918

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2014-02-04 for LYRETTE PR0918 manufactured by Novasys Medical.

Event Text Entries

[4183976] On (b)(6) 2013, the patient underwent a lyrette procedure for stress urinary incontinence. On (b)(6) 2014, the patient reported that her incontinence had worsened. Further medical investigation was conducted by verathon's consulting physician in conjunction with the patient's physician. It was concluded that it is too early post-operatively to know the outcome of the procedure, and further, the patient has a complicating diagnosis of interstitial cystitis (ic), which could exacerbate incontinence.
Patient Sequence No: 1, Text Type: D, B5


[11626939] Additional device component: lyrette generator model number gn0602. This device was manufactured by novasys. Verathon, inc. Purchased novasys on (b)(4) 2013, but has not yet distributed any verathon manufactured devices. Fda recall z-1404-2010, instructions for use (ifu) revision: because of complaints received by novasys of worsened stress incontinence symptoms 3-4 weeks after treatment, the instructions for use were revised to emphasize potential side effects. A field action notification letter was sent to all current customer (physicians) along with the revised instructions for use and patient information brochures. The company also updated physician information brochures and patient/physician dvds to include the information. This was shipped to physicians in august/september of 2009. The letter included notice that the instructions for use had reinforced language that one of the potential side effects of the renessa system (lyrette) is worsening incontinence following treatment. It also stated that women with a urethral length shorter than 2. 5cm should not be treated with renessa.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3022472-2014-00002
MDR Report Key3647905
Report Source04
Date Received2014-02-04
Date of Report2014-01-08
Date of Event2014-01-08
Date Mfgr Received2014-01-08
Date Added to Maude2014-02-27
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 ContactADAM GAINES, SR. SPECIALIST
Manufacturer Street20001 NORTH CREEK PKWY.
Manufacturer CityBOTHELL WA 98011
Manufacturer CountryUS
Manufacturer Postal98011
Manufacturer Phone4256295606
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction NumberZ-1404-2010
Event Type3
Type of Report3

Device Details

Brand NameLYRETTE
Generic NameTRANS-URETHRAL RF SYSTEM
Product CodeNVJ
Date Received2014-02-04
Model 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. Deathisabilit 2014-02-04

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