| Brand Name | UroLift UL2 ATC Implant Cartridge |
| Common Device Name | IMPLANTABLE TRANSPROSTATIC TIS |
| Manufacturer (Section D) |
| NeoTract, Inc. |
| pleasanton |
|
| Manufacturer (Section G) |
| NeoTract, Inc. |
| 4155 hopyard road |
|
| pleasanton 94588 |
|
CA
94588
|
|
| Manufacturer Contact |
|
tatiana
kosterina
|
| 3015 carrington mill blvd |
| morrisville 27560
|
|
| MDR Report Key | 50690138 |
| Report Number | 3015181082-2026-00078 |
| Device Sequence Number | 13175355 |
| Product Code |
PEW
|
| UDI-Device Identifier | 10814932020459 |
| UDI-Public | (01)10814932020459(11)260129(17)280129(10)73A2601041 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TX |
| Initial Reporter Country | US |
| PMA/510(K) Number | K201837 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility |
| Type of Report
| Initial |
| Report Date (Section B) |
09/01/2026 |
| 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 Catalogue Number | UL2ATC-C |
| Device Lot Number | 73A2601041 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/17/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/01/2026 |
| Initial Report FDA Received Date | 09/09/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 01/29/2026 |
| 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 Number | 1 |
| Patient Sex | Male |