MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 02,05 report with the FDA on 2002-07-17 for FEMSOFT URETHRAL INSERT FEMSOFT INSERT SIZE 2L 72202 manufactured by Rochester Medical Corporation.
[270352]
Femsoft urethral insert device migrated into the bladder.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2130787-2002-00002 |
| MDR Report Key | 405590 |
| Report Source | 02,05 |
| Date Received | 2002-07-17 |
| Date of Report | 2002-07-17 |
| Date of Event | 2001-12-08 |
| Date Mfgr Received | 2002-07-15 |
| Device Manufacturer Date | 2001-03-01 |
| Date Added to Maude | 2002-07-22 |
| 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 | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 0 |
| Manufacturer Contact | ROB ANGLIN |
| Manufacturer Street | ONE ROCHESTER MEDICAL DRIVE |
| Manufacturer City | STEWARTVILLE MN 55976 |
| Manufacturer Country | US |
| Manufacturer Postal | 55976 |
| Manufacturer Phone | 5075339613 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | FEMSOFT URETHRAL INSERT |
| Generic Name | FEMALE TRANSURETHRAL OCCLUSION DEVICE |
| Product Code | MNG |
| Date Received | 2002-07-17 |
| Model Number | FEMSOFT INSERT SIZE 2L |
| Catalog Number | 72202 |
| Lot Number | 53500064 |
| ID Number | * |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 394581 |
| Manufacturer | ROCHESTER MEDICAL CORPORATION |
| Manufacturer Address | ONE ROCHESTER MEDICAL DRIVE STEWARTVILLE MN 55976 US |
| Baseline Brand Name | FEMSOFT URETHRAL INSERT |
| Baseline Generic Name | FEMAL TRANSURETHRAL OCCLUSION DEVICE |
| Baseline Model No | FEMSOFT INSERT |
| Baseline Catalog No | 72202 |
| Baseline ID | * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2002-07-17 |