VOCARE BLADDER SYSTEM 1904 NA

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 2002-11-15 for VOCARE BLADDER SYSTEM 1904 NA manufactured by Neurocontrol Corporation.

Event Text Entries

[252359] This patient was implanted with the vocare bladder system in 1999. Recently the patient complained of an inability to empty their bladder using the device and believed it to be attributable to ecu battery problems. A replacement ecu was provided, which was reportedly being used successfully initially. However, it was subsequently reported that the patient also could not empty using the replacement ecu, and the patient's clinican determined that the patient likely had a distended bladder. The patient used a catheter as an alternative to the vocare for 1-2 weeks, then returned to using the vocare with modified ecu settings, and is now experiencing no problems emptying. This report is considered complete and no follow-up report is planned.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1530440-2002-00014
MDR Report Key427953
Report Source05
Date Received2002-11-15
Date of Report2002-10-16
Date of Event2002-09-01
Date Mfgr Received2002-10-16
Date Added to Maude2002-11-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactMICHAEL SOUTHWORTH
Manufacturer Street8333 ROCKSIDE ROAD
Manufacturer CityVALLEY VIEW OH 44125
Manufacturer CountryUS
Manufacturer Postal44125
Manufacturer Phone2169120101
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVOCARE BLADDER SYSTEM
Generic NameSACRAL ANTERIOR ROOT STIMULATOR FOR BLADDER/BOWEL
Product CodeGZC
Date Received2002-11-15
Returned To Mfg2002-10-18
Model Number1904
Catalog NumberNA
Lot NumberNA
ID NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Eval'ed by MfgrY
Implant FlagY
Date RemovedA
Device Sequence No1
Device Event Key416972
ManufacturerNEUROCONTROL CORPORATION
Manufacturer Address8333 ROCKSIDE ROAD VALLEY VIEW OH 44125 US
Baseline Brand NameVOCARE BLADDER SYSTEM
Baseline Generic NameSACRAL ANTERIOR ROOT STIMULATOR FOR BLADDER/BOWEL
Baseline Model No1904
Baseline Catalog NoNA
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2002-11-15

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