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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION SpaceOAR VUE¿ System - 10mL; Absorbable perirectal spacer

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BOSTON SCIENTIFIC CORPORATION SpaceOAR VUE¿ System - 10mL; Absorbable perirectal spacer Back to Search Results
Model Number SV-2101
Medical Device Problem Codes Use of Device Problem (1670); Malposition of Device (2616); Material Integrity Problem (2978)
Health Effect - Clinical Code Hemorrhage/Blood Loss/Bleeding (1888)
Date of Event 07/29/2026
Type of Reportable Event Malfunction
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Brand Name
SpaceOAR VUE¿ System - 10mL
Common Device Name
Absorbable perirectal spacer
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
Boston Scientific Cork Limited
500 commander shea boulevard
quincy MA 02171
Manufacturer Contact
farshad fahimi
4100 hamline avenue north
building c
saint paul, MN 55112
MDR Report Key50489091
Report Number2124215-2026-46030
Device Sequence Number10461496
Product Code OVB
UDI-Device Identifier00864661000140
UDI-Public(01)00864661000140
Combination Product (Y/N)N
Initial Reporter StateKS
Initial Reporter CountryUS
PMA/510(K) Number
K182971
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 08/27/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberSV-2101
Device Catalogue NumberSV-2101
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/29/2026
Initial Report FDA Received Date08/28/2026
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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