inforMED
InjuryJCW

AMS 700 LGX

Received Sep 22, 2025 · Event occurred Aug 11, 2025

Report 2124215-2025-64892 · MDR key 23113775

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404293

Catalog number

72404293

Lot number

0189891006

Product problems

  • Mechanical Problem
  • Nonstandard Device
  • Material Puncture/Hole
  • Mechanical Problem
  • Nonstandard Device
  • Material Puncture/Hole

Patient

83 YR · Male

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT WITH AN INFLATABLE PENILE PROSTHESIS (IPP) PRESENTED WITH A NONFUNCTIONING DEVICE. A REVISION SURGERY WAS PERFORMED, DURING WHICH THE PHYSICIAN CONFIRMED THAT A CRACK WAS FOUND IN THE LEFT CYLINDER CONNECTING TUBE. THE DEVICE WAS EXPLANTED AND REPLACED. THERE WERE NO PATIENT COMPLICATIONS.

Additional Manufacturer Narrative

UDI FIELD (D4) CONCOMITANT PRODUCT UDI FOR PUMP IS (B)(4). UDI FIELD (D4) CONCOMITANT PRODUCT UDI FOR RESERVOIR IS (B)(4).

Additional Manufacturer Narrative

UDI FIELD (D4) CONCOMITANT PRODUCT UDI FOR PUMP IS (B)(4). UDI FIELD (D4) CONCOMITANT PRODUCT UDI FOR RESERVOIR IS (B)(4). UPON RECEIPT AT THE QUALITY ASSURANCE LABORATORY, THE RETURNED COMPONENTS UNDERWENT A COMPREHENSIVE EVALUATION. MICROSCOPIC OBSERVATION IDENTIFIED CONTAMINATION (BODILY FLUID) WITHIN THE MS PUMP. THE MS PUMP KINK RESISTANT TUBING (KRT) WERE WORN TO THE FILAMENT; HOWEVER, THE MS PUMP PASSED THE LEAK TEST. MICROSCOPIC INSPECTION REVEALED THE FIRST CYLINDER EXHIBITED WEAR AT THE FOLD IN THE PROXIMAL END AND MIDDLE SECTION; ALSO, FIRST CYLINDER PASSED THE LEAKAGE TEST. SECOND CYLINDER PASSED MICROSCOPIC INSPECTION AND LEAKAGE TEST. NO DAMAGE OR ABNORMALITIES WERE FOUND. BASED ON THE AVAILABLE INFORMATION AND ANALYSIS RESULTS, THE ALLEGATION OF A DEVICE MECHANICAL ISSUE AND TUBING HOLE/PERFORATION COULD NOT BE CONFIRMED, AND A CONCLUSION CODE OF CAUSE NOT ESTABLISHED WAS ASSIGNED TO THIS INVESTIGATION.

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT WITH AN INFLATABLE PENILE PROSTHESIS (IPP) PRESENTED WITH A NONFUNCTIONING DEVICE. A REVISION SURGERY WAS PERFORMED, DURING WHICH THE PHYSICIAN CONFIRMED THAT A CRACK WAS FOUND IN THE LEFT CYLINDER CONNECTING TUBE. THE DEVICE WAS EXPLANTED AND REPLACED. THERE WERE NO PATIENT COMPLICATIONS.