NURO 3533

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,health professional report with the FDA on 2017-07-13 for NURO 3533 manufactured by Advanced Uro-solutions, L.l.c..

Event Text Entries

[79917414]
Patient Sequence No: 1, Text Type: N, H10


[79917415] The patient reported that there were times that they felt like they were ready to burst, would get to the bathroom, stand there for 5-10 minutes, and maybe a little urine would come out. There were other times when the urge would hit, and they would barely make it to the bathroom. These symptoms began prior to the percutaneous tibial neuromodulation (ptnm) treatments. It was indicated that the primary symptom they were being treated for was the process of urinating. The patient noted that they urinated a quart. The issue was not resolved. It was further provided that the patient had leaking prior to the ptnm treatments, but not since. Their healthcare provider (hcp) told them that they had an obstruction, so the hcp clipped it out, and widened the tube running off their bladder. The patient had completed two ptnm sessions at the time of report. There were no further complications reported as a result of this event. Additional information reported that the patient couldn't really tell if the treatment improved their urinary problems. The patient stated that they were a new man for a couple of weeks however they had an infection prior to starting the ptnm sessions and now seemed to be having the same symptoms. It was unknown if the infection had been resolved. The patient reported that their healthcare provider sent their tests off to be biopsied to check the pathology. It was unknown if any environmental/external/patient factors that may have led or contributed to the issue. The patient was reported to be alive with no injury. No further complications were reported/anticipated.
Patient Sequence No: 1, Text Type: D, B5


[98468240] (b)(4). If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[98468241] Additional information received from the healthcare provider (hcp) indicated that the cause of the urinary obstruction was due to the urethral structure that was long standing and had been there for a long time. The patient was treated on (b)(6) 2017. There were no further complications reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


[99335941] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[99335942] The patient reported that they were in and out of the hospital so they have not been able to go to their the ptnm sessions. The patient had 3 stints put in because they had a blockage in their heart. The patient noted that they were satisfied with the treatment. The patient noticed the last time they were there that they felt it a little more in their calf than they had the time before. The patient also had a tens machine that they use on their back because their back gives them some trouble. It was unknown if any environmental/external/patient factors that may have led or contributed to the issue. The patient has completed 4 or 5 ptnm sessions. There were no further complications reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007566237-2017-02841
MDR Report Key6710199
Report SourceCONSUMER,HEALTH PROFESSIONAL
Date Received2017-07-13
Date of Report2017-08-31
Date Mfgr Received2017-08-08
Device Manufacturer Date2016-04-01
Date Added to Maude2017-07-13
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 FDA3
Event Location3
Manufacturer ContactLISA WOODWARD CLARK
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635263920
Manufacturer G1ADVANCED URO-SOLUTIONS, L.L.C.
Manufacturer Street7842 HICKORY FLAT HIGHWAY SUITE D
Manufacturer CityWOODSTOCK,GA MN 301881200
Manufacturer CountryUS
Manufacturer Postal Code301881200
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNURO
Generic NameSTIMULATOR,PERIPHERAL NERVE,NON-IMPLANTED,FOR PELVIC FLOOR DYSFUNCTION
Product CodeNAM
Date Received2017-07-13
Model Number3533
Catalog Number3533
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerADVANCED URO-SOLUTIONS, L.L.C.
Manufacturer Address7842 HICKORY FLAT HIGHWAY SUITE D WOODSTOCK,GA MN 301881200 US 301881200


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-07-13

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