AMS 700 LGX? TENACIO? PUMP
Received Apr 24, 2025 · Event occurred Apr 7, 2025
Report 2124215-2025-25532 · MDR key 21901323
Device
Generic name
Prosthesis, Penis, Inflatable
Manufacturer
Boston Scientific CorporationModel number
72404456Catalog number
72404456
Lot number
1100651212
Product problems
- Adverse Event Without Identified Device or Use Problem
- Adverse Event Without Identified Device or Use Problem
Patient
72 YR · Male
- Hematoma
- Swelling/ Edema
- Hematoma
- Swelling/ Edema
Narrative
Additional Manufacturer Narrative
UDI FIELD (D4) CONCOMITANT PRODUCT UDI FOR RESERVOIR IS (B)(4).
Description of Event or Problem
IT WAS REPORTED THAT THE PATIENT WITH THIS INFLATABLE PENILE PROSTHESIS PRESENTED WITH FLUID IN THE SCROTUM. AS PER REVISION SURGERY PHYSICIAN ATTRIBUTED THAT THE HEMATOMA WITHIN THE CORPORAL BODIES AND THE FLUID IN THE SCROTUM TO THE PATIENT MEDICATION. THE DEVICE WAS EXPLANTED. THERE WERE NO FURTHER PATIENT COMPLICATIONS.
Additional Manufacturer Narrative
UDI FIELD (D4) CONCOMITANT PRODUCT UDI FOR RESERVOIR IS (B)(4). CORRECTION TO FIELD H7: IF REMEDIAL ACT INIT, TYPE. CORRECTION TO FIELD H9: CORRECTION/REMOVAL REPORTING NUMBER. CORRECTION TO FIELD A2: AGE AT TIME OF EVENT. CORRECTION TO FIELD A2: UNIT OF MEASURE AGE. THE DEVICE IS NOT AVAILABLE FOR ANALYSIS; THEREFORE, NO PHYSICAL OR VISUAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THERE WAS NO REPORT OF A DEVICE PERFORMANCE ALLEGATION. SWELLING, EDEMA AND HEMATOMA ARE ACKNOWLEDGED WITHIN THE DFU AND ARE NOT RELATED TO OFF-LABEL USE OR FAILURE TO FOLLOW INSTRUCTIONS. THE REPORTED PATIENT SYMPTOMS OF SWELLING, EDEMA AND HEMATOMA ARE KNOWN RISK ASSOCIATED WITH THIS DEVICE TYPE AND INDICATED AS SUCH IN THE INSTRUCTIONS FOR USE.
Description of Event or Problem
IT WAS REPORTED THAT THE PATIENT WITH THIS INFLATABLE PENILE PROSTHESIS (IPP) PRESENTED WITH FLUID IN THE SCROTUM. AS PER REVISION SURGERY PHYSICIAN ATTRIBUTED THAT THE HEMATOMA WITHIN THE CORPORAL BODIES AND THE FLUID IN THE SCROTUM TO THE PATIENT MEDICATION. THE DEVICE WAS EXPLANTED. THERE WERE NO FURTHER PATIENT COMPLICATIONS.
Remedial action
- Recall